Individual provider · Type 1 NPI
Wanda C. Kellyman, MS, NCC, LCMHC
Mental Health Counselor · Winston Salem, NC
NPI number
1114519451
Active
Practice location
313 Water Lily Cir
Winston Salem, NC 27107-6048
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 15671 (NC) |
Mental Health Counselor: Definition to come...
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About NPI 1114519451
Wanda C. Kellyman, MS, NCC, LCMHC's National Provider Identifier is 1114519451, issued on Feb 8, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Winston Salem, NC. The record was last updated on Jun 15, 2023.