Individual provider · Type 1 NPI
Nicole Lisa Kelly, M.S.
Mental Health Counselor · San Jose, CA
NPI number
1558610071
Active
Practice location
2625 Zanker Rd
San Jose, CA 95134-2130
Fax (408) 944-9114
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1558610071
Nicole Lisa Kelly, M.S.'s National Provider Identifier is 1558610071, issued on Aug 29, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Jose, CA. The record was last updated on Aug 29, 2012.