Shirley Kelley
Counselor in Texarkana, TX. Individual provider (NPI-1).
NPI number1104138015
StatusActive
Last updated in NPPESJun 11, 2024
Details
- NPI
- 1104138015
- Entity type
- Individual (NPI-1)
- Name
- Shirley Kelley
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 8, 2010
- Certification date
- Jun 11, 2024
- Last updated
- Jun 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | 64202 | TX | Yes |
Practice location
1125 N Robison RdTexarkana, TX 75501-4103
Phone 903-832-2860 · Fax 903-832-2870
Mailing address
1125 N Robison RdTexarkana, TX 75501-4103
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All 18 Counselor providers in Texarkana · All 1,674 providers in Texarkana
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