Individual provider · Type 1 NPI

Terry Kelly, LPC

Professional Counselor · Fairbanks, AK

NPI number 1053494898 Active

Practice location

1716 University Ave S
Fairbanks, AK 99709-4904

Call (907) 322-6940 Map

Fax (907) 455-4434

Mailing address

PO Box 80282
Fairbanks, AK 99708-0282

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X488 (AK)

Professional Counselor: Definition to come...

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About NPI 1053494898

Terry Kelly, LPC's National Provider Identifier is 1053494898, issued on Oct 23, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fairbanks, AK. The record was last updated on Jun 27, 2012.