Ky'an Kelly is a Counselor based in Roseburg, OR. Ky'an Kelly practices in Roseburg, OR. The NPI Number for Ky'an Kelly is 1992044416 and holds a License No. (Oregon).
The current practice location address for Ky'an Kelly is 612 Se Jackson St Ste 11, Roseburg, OR and can be reached out via phone at 541-464-6455.
Location: 612 Se Jackson St Ste 11, Roseburg, OR, 97470-4956
Provider Profile Details
NPI Number
1992044416
Provider Name
Ky'an Kelly
Credential
Provider Entity Type
Individual
Gender
Female
Address
612 Se Jackson St Ste 11, Roseburg, OR, 97470-4956
Phone Number
541-464-6455
Fax Number
Provider Enumeration Date
02/04/2013
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
612 Se Jackson St Ste 11
City
State
Zip
97470-4956
Phone Number
541-464-6455
Fax Number
Provider Business Mailing Address Details
Address
612 Se Jackson St Ste 11
City
State
Zip
97470-4956
Phone Number
541-464-6455
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
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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