Individual provider · Type 1 NPI

Debra J. Kelly, MFT

Mental Health Counselor · Santa Rosa, CA

NPI number 1093078867 Active

Practice location

114 Sotoyome St
Santa Rosa, CA 95405-4804

Call (707) 569-0459 Map

Fax (707) 570-3941

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMFC19530 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1093078867

Debra J. Kelly, MFT's National Provider Identifier is 1093078867, issued on Jun 18, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Santa Rosa, CA. The record was last updated on Jun 18, 2012.