Individual provider · Type 1 NPI

Kellie Donnelly

Mental Health Counselor · Grants Pass, OR

NPI number 1962043679 Active

Practice location

1215 SW G St
Grants Pass, OR 97526-2544

Call (541) 476-2373 Map

Mailing address

403 Cypress Ave
Rogue River, OR 97537-5591

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1962043679

Kellie Donnelly's National Provider Identifier is 1962043679, issued on Oct 3, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Grants Pass, OR. The record was last updated on Oct 3, 2019.