| NPI | 1487150660 |
|---|---|
| Professional Name | GAYLE KELLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IA 01064) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 00675) |
| 101YM0800X Counselor, Mental Health (Licence: IL 180-001471) | |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2018-04-05 |