Individual provider · Type 1 NPI

Samuel E. Kelly

Mental Health Counselor · Oakland Park, FL

NPI number 1669797171 Active

Practice location

2901 W Oakland Park Blvd, Ste A1
Oakland Park, FL 33311-1243

Call (954) 202-9334 Map

Fax (954) 202-7912

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH3876 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1669797171

Samuel E. Kelly's National Provider Identifier is 1669797171, issued on Mar 29, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Oakland Park, FL. The record was last updated on Dec 7, 2016.