Individual provider · Type 1 NPI

Ethel Kelly

Mental Health Counselor · Anchorage, AK

NPI number 1225644503 Active

Practice location

1709 Bragaw St
Anchorage, AK 99508-3436

Call (907) 562-5340 Map

Mailing address

930 Allison Cir
Anchorage, AK 99515-3258

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1225644503

Ethel Kelly's National Provider Identifier is 1225644503, issued on Sep 21, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Anchorage, AK. The record was last updated on Sep 21, 2020.