Individual provider · Type 1 NPI

Jennifer E. Kelly

Mental Health Counselor · O Fallon, MO

NPI number 1174204077 Active

Practice location

864 Bluff Brook Dr
O Fallon, MO 63366-5069

Call (314) 482-8620 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1174204077

Jennifer E. Kelly's National Provider Identifier is 1174204077, issued on Jul 25, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in O Fallon, MO. The record was last updated on Jul 25, 2023.