Letishal Kelly

NPI #1194204990 in Chester, South Carolina

Provider Information

NPI Number: 1194204990
Entity Type: Individual
Name: Letishal Kelly
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Aug 13, 2018
Last Updated: Aug 13, 2018

Practice Location

Address: 106 YORK ST
City: Chester
State: South Carolina
ZIP Code: 29706-1484
Phone: (704) 493-0466

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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