Miriam Kelly, LPC

NPI #1629391974 in Lagrange, Georgia

Provider Information

NPI Number: 1629391974
Entity Type: Individual
Name: Miriam Kelly, LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Mar 1, 2010
Last Updated: Mar 1, 2010

Practice Location

Address: 300 MEDICAL DRIVE
Address 2: SUITE 705
City: Lagrange
State: Georgia
ZIP Code: 30240-4130
Phone: (706) 885-0111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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