Terry Kelly, LPC

NPI #1053494898 in Fairbanks, Alaska

Provider Information

NPI Number
1053494898
Entity Type
Individual
Name
Terry Kelly, LPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
LPC
Enumeration Date
Oct 23, 2006
Last Updated
Jun 27, 2012

Practice Location

Address
1716 UNIVERSITY AVE S
State
Alaska
ZIP Code
99709-4904
Phone
(907) 322-6940

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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