Individual provider · Type 1 NPI
Mark Allen Kelly, P-LPC
Counselor · Oxford, MS
NPI number
1104708437
Active
Practice location
2094 Old Taylor Rd Ste 157
Oxford, MS 38655-5019
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1104708437
Mark Allen Kelly, P-LPC's National Provider Identifier is 1104708437, issued on Jul 25, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Oxford, MS. The record was last updated on Jul 25, 2025.