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Kelly Leuty, MHP
Counselor in Centralia, Illinois
NPI 1033406269

Kelly Leuty is a Counselor based in Salem, IL. Kelly Leuty practices in Centralia, IL and has the professional credentials of MHP. The NPI Number for Kelly Leuty is 1033406269 and holds a License No. (Illinois).

The current practice location address for Kelly Leuty is 101 S Locust St, Centralia, IL and can be reached out via phone at 618-533-1391.

Location: 101 S Locust St, Centralia, IL, 62881-0201
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033406269
Provider Name
Kelly Leuty
Credential
MHP
Provider Entity Type
Individual
Gender
Female
Address
101 S Locust St, Centralia, IL, 62881-0201
Phone Number
618-533-1391
Fax Number
Provider Enumeration Date
07/08/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
101 S Locust St
City
Centralia
State
Illinois
Zip
62801-3506
Phone Number
618-533-1391
Fax Number
person
Provider Business Mailing Address Details
Address
101 S Locust St
City
Centralia
State
Illinois
Zip
62801-3506
Phone Number
618-533-1391
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
180.009169 (Illinois)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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