Individual provider · Type 1 NPI

Jacqueline Kelly, PhD

Marriage & Family Therapist · Concord, NC

NPI number 1710293436 Active

Practice location

220 George W Liles Pkwy NW
Concord, NC 28027-6531

Mailing address

658 Summerford Ct NW
Concord, NC 28027-7712

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X1191 (NC)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1710293436

Jacqueline Kelly, PhD's National Provider Identifier is 1710293436, issued on Aug 19, 2010. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Concord, NC. The record was last updated on Aug 19, 2010.