Individual provider · Type 1 NPI

Jennifer Kelly

Mental Health Counselor · Santa Cruz, CA

NPI number 1578814901 Active

Practice location

1080 Emeline Ave
Santa Cruz, CA 95060-1966

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1578814901

Jennifer Kelly's National Provider Identifier is 1578814901, issued on Sep 25, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Santa Cruz, CA. The record was last updated on Sep 25, 2012.