Individual provider · Type 1 NPI

Leigh Van Dyken Kelly

Mental Health Counselor · Worcester, MA

NPI number 1982851606 Active

Practice location

255 Park Ave, Suite 803
Worcester, MA 01609-1953

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1982851606

Leigh Van Dyken Kelly's National Provider Identifier is 1982851606, issued on Aug 25, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Worcester, MA. The record was last updated on Aug 25, 2008.