Samantha Anne Kelly, BAMHP

NPI #1245465699 in Dixon, Illinois

Provider Information

NPI Number: 1245465699
Entity Type: Individual
Name: Samantha Anne Kelly, BAMHP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: BAMHP
Enumeration Date: May 28, 2009
Last Updated: May 28, 2009

Practice Location

Address: 325 IL ROUTE 2
City: Dixon
State: Illinois
ZIP Code: 61021-9118
Phone: (815) 284-6611

Specialties & Taxonomy Codes

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

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