Individual
KATHLEEN KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28 PARK AVE, CATAMOUNT CENTER, SUITE 110, WILLISTON, VT 05495
(802) 878-0550
Mailing address
124 COVINGTON LN, SHELBURNE, VT 05482-6657
(802) 310-1654
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0680000352
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0680000352
LCMHC
VT
Enumeration date
01/18/2008
Last updated
11/10/2008
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