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Mrs. Kim J Kelly, LCAS
Counselor in Selma, North Carolina
NPI 1730457193

Kim J Kelly is a Counselor based in Greenville, NC. Kim J Kelly practices in Selma, NC and has the professional credentials of LCAS. The NPI Number for Kim J Kelly is 1730457193 and holds a License No. 2526 (North Carolina).

The current practice location address for Kim J Kelly is 200 S Pollock St, Selma, NC and can be reached out via phone at 919-965-6770 and via fax at 919-965-0196.

Location: 200 S Pollock St, Selma, NC, 27834-5015
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730457193
Provider Name
Kim J Kelly
Credential
LCAS
Provider Entity Type
Individual
Gender
Female
Address
200 S Pollock St, Selma, NC, 27834-5015
Phone Number
919-965-6770
Fax Number
919-965-0196
Provider Enumeration Date
12/13/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
200 S Pollock St
City
Selma
State
North Carolina
Zip
27576-3062
Phone Number
919-965-6770
Fax Number
919-965-0196
person
Provider Business Mailing Address Details
Address
200 S Pollock St
City
Selma
State
North Carolina
Zip
27576-3062
Phone Number
919-965-6770
Fax Number
919-965-0196
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
2526 (North Carolina)
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
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
2526 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
2526 (North Carolina)
Definition
Definition to come...
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