Tara Jean Kelley M.S., L.P.C.

NPI 1093063505 - Counselor - 101Y00000X

NPI Details
NPI 1093063505
Gender Female
Enumeration Date 08/15/2012
Last Updated 08/15/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
COLUMBIA MO, 65201-4323, US
Phone (573) 449-4770
Fax (573) 449-4851
Business Location
COLUMBIA MO, 65203-1304, US
Phone (563) 508-7817
Taxonomy Code 101Y00000X
License State Illinois
License Number 178002726
Remove 1093063505 NPI Number

According to our database, Ms. Tara Jean Kelley M.S., L.P.C. NPI is 1093063505, taxonomy code is 101Y00000X and license number is 178002726, license state is located at Illinois. Tara Jean Kelley M.S., L.P.C. physically located at 403 Dysart St, Columbia MO, 65201-4323. NPI Number Tara Jean Kelley M.S., L.P.C. has the Individual type.

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1093063505 NPI number is provided on an as is basis without warranty of any kind. 1093063505 is maintained by the National Plan & Provider Enumeration System. The contents of Tara Jean Kelley M.S., L.P.C. are for informational purposes only.