Individual provider · Type 1 NPI

Marcus Jerome Kelly

Mental Health Counselor · Moore, OK

NPI number 1992065619 Active

About NPI 1992065619

Marcus Jerome Kelly's National Provider Identifier is 1992065619, issued on May 29, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Moore, OK. The record was last updated on May 29, 2012.