Individual
MRS. KELLY M MORDECKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, ED.S., LPC
Contact information
Practice address
90 MACCORKLE AVE SW STE 201, CHARLESTON, WV 25303-1443
(304) 421-6464
Mailing address
90 MACCORKLE AVE SW STE 201, SOUTH CHARLESTON, WV 25303-1443
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1536
WV
101YP2500X
Professional Counselor
1536
WV
101YS0200X
School Counselor
1536
WV
Other
Enumeration date
11/03/2010
Last updated
07/31/2020
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