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Joseph Lee Kelly, Counselor

Counselor in Lakeland, FL. Individual provider (NPI-1).

NPI number1356808786
StatusActive
Last updated in NPPESFeb 21, 2019

Details

NPI
1356808786
Entity type
Individual (NPI-1)
Name
Mr. Joseph Lee Kelly
Credential
Counselor
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 21, 2019
Last updated
Feb 21, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101Y00000X Counselor59814FLYes

Practice location

900 Old Combee Rd Lot 86
Lakeland, FL 33805-9508

Phone 727-250-8817

Mailing address

900 Old Combee Rd Lot 86
Lakeland, FL 33805-9508

Phone 727-250-8817

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