Ashley Lauren Kelly
Counselor, Mental Health in Brockton, MA. Individual provider (NPI-1).
NPI number1699397828
StatusActive
Last updated in NPPESMay 11, 2020
Details
- NPI
- 1699397828
- Entity type
- Individual (NPI-1)
- Name
- Ashley Lauren Kelly
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 11, 2020
- Certification date
- May 11, 2020
- Last updated
- May 11, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
103 Commercial StBrockton, MA 02302-3133
Phone 508-580-4691
Mailing address
103 Commercial StBrockton, MA 02302-3133
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