Individual
BONNIE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 N LAURENT ST STE 107, VICTORIA, TX 77901-5462
(361) 894-8734
Mailing address
1801 N LAURENT ST STE 107, VICTORIA, TX 77901-5462
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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