Individual
ERICA LEIGH KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
135 BURNETT DR UNIT 4, DURANGO, CO 81301-7790
(970) 946-2079
Mailing address
135 BURNETT DR UNIT 4, DURANGO, CO 81301-7790
(970) 946-2079
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
CSW.09927095
CO
Other
Enumeration date
04/13/2022
Last updated
05/17/2022
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