Kelly D Bernal, MA

NPI #1760468375 in Potosi, Missouri

Provider Information

NPI Number: 1760468375
Entity Type: Individual
Name: Kelly D Bernal, MA
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Counselor
Credential: MA
Enumeration Date: Dec 16, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 219 E HIGH ST
City: Potosi
State: Missouri
ZIP Code: 63664-1900
Phone: (573) 436-1716

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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