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
ZIP Code
62203-2214
Phone
(618) 397-0968

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional
Counselor

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