person
Kenneth D Kelly, MA,LPC
Mental Health Counselor in Columbia, South Carolina
NPI 1285212159

Kenneth D Kelly is a Mental Health Counselor based in Columbia, SC and is specialized in Mental Health. Kenneth D Kelly practices in Columbia, SC and has the professional credentials of MA,LPC. The NPI Number for Kenneth D Kelly is 1285212159 and holds a License No. 7756 (South Carolina).

The current practice location address for Kenneth D Kelly is 2309 Devine St, Columbia, SC and can be reached out via phone at 803-250-1947.

Location: 2309 Devine St, Columbia, SC, 29205-2422
person
Provider Profile Details
NPI Number
1285212159
Provider Name
Kenneth D Kelly
Credential
MA,LPC
Provider Entity Type
Individual
Gender
Male
Address
2309 Devine St, Columbia, SC, 29205-2422
Phone Number
803-250-1947
Fax Number
Provider Enumeration Date
03/31/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3857 01 NO INSURANCE
institution
Provider Business Practice Location Address Details
Address
2309 Devine St
City
State
Zip
29205-2422
Phone Number
803-250-1947
Fax Number
person
Provider Business Mailing Address Details
Address
2309 Devine St
City
State
Zip
29205-2422
Phone Number
803-250-1947
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
7756 (South Carolina)
Definition
Definition to come...
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