Individual
DEBRA A KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCMH QMHP
Contact information
Practice address
1719 W MAIN ST, RAPID CITY, SD 57702
(605) 394-5712
(605) 394-5738
Mailing address
1719 W MAIN ST, RAPID CITY, SD 57702
(605) 394-5712
(605) 394-5738
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-MH 2077
SD
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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