Individual provider · Type 1 NPI

Kelly Ellen Mead

Mental Health Counselor · San Jacinto, CA

NPI number 1578917910 Active

Practice location

102 W Main St
San Jacinto, CA 92583-4121

Mailing address

650 N State St
Hemet, CA 92543-2960

Other practice locations

  • 650 N State St, Hemet, CA 92543 · (951) 791-3300

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1578917910

Kelly Ellen Mead's National Provider Identifier is 1578917910, issued on Apr 22, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Jacinto, CA. The record was last updated on Jul 21, 2022.