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Richard Tyler Kelly
Counselor in Columbus, Mississippi
NPI 1275199069

Richard Tyler Kelly is a Counselor based in Jackson, MS. Richard Tyler Kelly practices in Columbus, MS. The NPI Number for Richard Tyler Kelly is 1275199069 and holds a License No. (Mississippi).

The current practice location address for Richard Tyler Kelly is 2623 5Th St N, Columbus, MS and can be reached out via phone at 662-241-7097.

Location: 2623 5Th St N, Columbus, MS, 39202-3442
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275199069
Provider Name
Richard Tyler Kelly
Credential
Provider Entity Type
Individual
Gender
Male
Address
2623 5Th St N, Columbus, MS, 39202-3442
Phone Number
662-241-7097
Fax Number
Provider Enumeration Date
05/16/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2623 5Th St N
City
Columbus
State
Mississippi
Zip
39705-2009
Phone Number
662-241-7097
Fax Number
person
Provider Business Mailing Address Details
Address
2623 5Th St N
City
Columbus
State
Mississippi
Zip
39705-2009
Phone Number
662-241-7097
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
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.
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