Individual provider · Type 1 NPI
Kelly Marie Gilleland, LPC
Professional Counselor · Bastrop, TX
NPI number
1386190858
Active
Practice location
148 Waipahoehoe Dr
Bastrop, TX 78602-2035
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 72661 (TX) |
Professional Counselor: Definition to come...
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About NPI 1386190858
Kelly Marie Gilleland, LPC's National Provider Identifier is 1386190858, issued on Aug 25, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bastrop, TX. The record was last updated on May 4, 2022.