Individual provider · Type 1 NPI

Letishal Kelly

Mental Health Counselor · Chester, SC

NPI number 1194204990 Active

Practice location

106 York St
Chester, SC 29706-1484

Mailing address

10810 Tradition View Dr
Charlotte, NC 28269-1421

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1194204990

Letishal Kelly's National Provider Identifier is 1194204990, issued on Aug 13, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chester, SC. The record was last updated on Aug 13, 2018.