Individual provider · Type 1 NPI

Detra Kelly, LCSW-C

Mental Health Counselor · Salisbury, MD

NPI number 1982245049 Active

Practice location

540 Riverside Dr Ste 8
Salisbury, MD 21801-5352

Fax (410) 548-3341

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X22747 (MD)

Mental Health Counselor: Definition to come...

7 other providers at this address

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About NPI 1982245049

Detra Kelly, LCSW-C's National Provider Identifier is 1982245049, issued on Sep 30, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Salisbury, MD. The record was last updated on Sep 30, 2019.