MATTHEW KELLEY

PRESTONSBURG, KY
NPI1508124827
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2012-04-24
Last Update Date2012-04-24
Business Address
-- MATTHEW KELLEY
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572
Mailing Address
-- MATTHEW KELLEY
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572