Individual
MS. TRACY SUSAN KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. MFT INTERN
Contact information
Practice address
505 S ARLINGTON AVE STE 212-D, RENO, NV 89509-1527
(775) 742-7764
(775) 622-4509
Mailing address
PO BOX 50237, SPARKS, NV 89435-0237
(775) 742-7764
(775) 622-4509
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NV
106H00000X
Marriage & Family Therapist
Primary
—
NV
Other
Enumeration date
11/17/2012
Last updated
11/19/2012
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