Individual provider · Type 1 NPI

Carla Jean Kelly, LPC, LLPC

Professional Counselor · Portage, MI

NPI number 1477214575 Active

Practice location

800 E Milham Ave
Portage, MI 49002-1490

Mailing address

6752 Pleasantview Dr
Portage, MI 49024-1004

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X6401004965 (MI)

Professional Counselor: Definition to come...

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About NPI 1477214575

Carla Jean Kelly, LPC, LLPC's National Provider Identifier is 1477214575, issued on Jan 2, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Portage, MI. The record was last updated on Jan 2, 2022.