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Jennifer Ford Kelly, MED,EDS,LPC
Professional Counselor in Raleigh, North Carolina
NPI 1033140504

Jennifer Ford Kelly is a Professional Counselor based in Raleigh, NC and is specialized in Professional. Jennifer Ford Kelly practices in Raleigh, NC and has the professional credentials of MED,EDS,LPC. The NPI Number for Jennifer Ford Kelly is 1033140504 and holds a License No. 5092 (North Carolina).

The current practice location address for Jennifer Ford Kelly is 316 W Millbrook Rd, Raleigh, NC and can be reached out via phone at 919-345-8965.

Location: 316 W Millbrook Rd, Raleigh, NC, 27609-4478
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033140504
Provider Name
Jennifer Ford Kelly
Credential
MED,EDS,LPC
Provider Entity Type
Individual
Gender
Female
Address
316 W Millbrook Rd, Raleigh, NC, 27609-4478
Phone Number
919-345-8965
Fax Number
Provider Enumeration Date
07/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6103034 05 NC
institution
Provider Business Practice Location Address Details
Address
316 W Millbrook Rd
City
Raleigh
State
North Carolina
Zip
27609-4478
Phone Number
919-345-8965
Fax Number
person
Provider Business Mailing Address Details
Address
316 W Millbrook Rd
City
Raleigh
State
North Carolina
Zip
27609-4478
Phone Number
919-345-8965
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
5092 (North Carolina)
Definition
Definition to come...
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