Sandra Kelly
Counselor, Professional in Winnsboro, TX. Individual provider (NPI-1).
NPI number1093428443
StatusActive
Last updated in NPPESJan 13, 2023
Details
- NPI
- 1093428443
- Entity type
- Individual (NPI-1)
- Name
- Sandra Kelly
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 30, 2022
- Certification date
- Jan 13, 2023
- Last updated
- Jan 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 87793 | TX | Yes |
Practice location
320 N Main StWinnsboro, TX 75494-2524
Phone 903-347-3118
Mailing address
320 N Main StWinnsboro, TX 75494-2524
Phone 903-347-3118
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