Individual provider · Type 1 NPI

Michael Kelly

Mental Health Counselor · Watertown, NY

NPI number 1861209405 Active

Practice location

211 Jb Wise Pl
Watertown, NY 13601-2507

Mailing address

1704 State St
Watertown, NY 13601-3102

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1861209405

Michael Kelly's National Provider Identifier is 1861209405, issued on Dec 17, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Watertown, NY. The record was last updated on Dec 17, 2024.