Individual provider · Type 1 NPI

Timothy J. Kelly, MA, LCPC

Counselor · East St. Louis, IL

NPI number 1720746308 Active

Practice location

9400 Lebanon Rd
East St. Louis, IL 62203-2214

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X180013984 (IL)
Counselor Primary 101Y00000X180013984 (IL)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1720746308

Timothy J. Kelly, MA, LCPC's National Provider Identifier is 1720746308, issued on Dec 1, 2021. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in East St. Louis, IL. The record was last updated on Dec 1, 2021.