person
Mrs. Antoinette Mary Kelley, LCPC
Professional Counselor in Clarksburg, Maryland
NPI 1952488199

Antoinette Mary Kelley is a Professional Counselor based in Silver Spring, MD and is specialized in Professional. Antoinette Mary Kelley practices in Clarksburg, MD and has the professional credentials of LCPC. The NPI Number for Antoinette Mary Kelley is 1952488199 and holds a License No. LC2067 (Maryland).

The current practice location address for Antoinette Mary Kelley is 12607 Clark Meadows Ct, Clarksburg, MD and can be reached out via phone at 240-498-1648.

Location: 12607 Clark Meadows Ct, Clarksburg, MD, 20903-1740
person
Provider Profile Details
NPI Number
1952488199
Provider Name
Antoinette Mary Kelley
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
12607 Clark Meadows Ct, Clarksburg, MD, 20903-1740
Phone Number
240-498-1648
Fax Number
Provider Enumeration Date
11/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7539782 01 MD AETNA
F127-0028 01 DC BLUE CROSS BLUE SHIELD
LV12/647371-01 01 MD BLUE CROSS BLUE SHIELD
2143850 01 MD MAMSI
institution
Provider Business Practice Location Address Details
Address
12607 Clark Meadows Ct
City
State
Zip
20871-4000
Phone Number
240-498-1648
Fax Number
person
Provider Business Mailing Address Details
Address
12607 Clark Meadows Ct
City
State
Zip
20871-4000
Phone Number
240-498-1648
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LC2067 (Maryland)
Definition
Definition to come...
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