PATRICK KEVIN KELLY

SAN LUIS OBISPO, CA
NPI1487011706
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  113191)
Enumeration Date2016-01-16
Last Update Date2024-02-02
Business Address
Mr. PATRICK KEVIN KELLY
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4535
Phone number: 805-473-7087
Mailing Address
Mr. PATRICK KEVIN KELLY
PO BOX 882393
LOS ANGELES, CA 90009-3031
Phone number: 310-598-0669