Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Wallis, LCPC

Individual provider Professional Counselor · NPI 1659862050

Kelly Wallis, LCPC is a Professional Counselor in Timonium, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2018
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

9475 Deereco Rd Ste 410
Timonium, MD 21093-2124
Phone: (410) 560-6135
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LC8679 (MD)

Record details

NPI number1659862050
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC
Sole proprietorYes
NPI enumeratedMay 22, 2018
Last updated in NPPESMay 22, 2018

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