Individual provider · Type 1 NPI
Shannon D. Kelly, LPC
Professional Counselor · Athens, GA
NPI number
1679710594
Active
Practice location
250 North Ave
Athens, GA 30601-2244
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC006024 (GA) |
Professional Counselor: Definition to come...
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About NPI 1679710594
Shannon D. Kelly, LPC's National Provider Identifier is 1679710594, issued on Jan 14, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Athens, GA. The record was last updated on Jul 21, 2022.