Individual
DEVERIE ANN KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LAC
Contact information
Practice address
2001 11TH AVE STE 6, HELENA, MT 59601-4808
(406) 603-4151
(406) 442-0248
Mailing address
2001 11TH AVE STE 6, HELENA, MT 59601-4808
(406) 603-4151
(406) 442-0248
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
BBH-LAC-LIC-3377
MT
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-30553
MT
Other
Enumeration date
04/29/2014
Last updated
02/25/2019
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