Marcus Jerome Kelly
Marcus Jerome Kelly is a Mental Health Counselor in Moore, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.
- Licensed in
- OK
- In the registry since
- 2012
Practice location Address checks out
1805 Mead LnMoore, OK 73170-1472
Phone: (405) 201-8496
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 081111886 (OK) |
|---|
Record details
| NPI number | 1992065619 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 29, 2012 |
| Last updated in NPPES | May 29, 2012 |
| Mailing address | 1805 Mead Ln, Moore, OK 73170-1472 |
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