Individual provider · Type 1 NPI

Beverly Kelly

Mental Health Counselor · Philadelphia, PA

NPI number 1104299882 Active

Practice location

150 W Walnut Park Dr
Philadelphia, PA 19120-1011

Call (267) 226-5096 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1104299882

Beverly Kelly's National Provider Identifier is 1104299882, issued on Nov 4, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Philadelphia, PA. The record was last updated on Nov 4, 2015.