Individual
JENNIFER LYNN KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., B.C.B.A.
Contact information
Practice address
102 E MAIN ST, STEVENSVILLE, MD 21666-4002
(941) 321-1968
(410) 630-5733
Mailing address
414 CALVERT RD, STEVENSVILLE, MD 21666-2620
(410) 604-2418
(410) 604-1119
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
LBA030
MD
Other
Enumeration date
12/21/2008
Last updated
03/21/2022
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