Timothy J Kelly, MA, LCPC
NPI #1720746308 in East Saint Louis, Illinois
Provider Information
- NPI Number
- 1720746308
- Entity Type
- Individual
- Name
- Timothy J Kelly, MA, LCPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Credential
- MA, LCPC
- Enumeration Date
- Dec 1, 2021
- Last Updated
- Dec 1, 2021
Practice Location
- Address
- 9400 LEBANON RD
- City
- East Saint Louis
- State
- Illinois
- ZIP Code
- 62203-2214
- Phone
- (618) 397-0968
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
| Counselor |
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Organizations
| Provider Name | |
|---|---|
| Children's Center for Behavioral Development | |
| House of Prayer Christian Academy |
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