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

Tracy Juneil Kelly

Individual provider Counselor · NPI 1508510033

Tracy Juneil Kelly is a Counselor in Stockton, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022
Specialties on file
2

Practice location Address checks out

1212 N California St
Stockton, CA 95202-1552
Phone: (209) 468-8644
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 117056 (CA)
Counselor Taxonomy 101Y00000X

Record details

NPI number1508510033
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 3, 2022
Last updated in NPPESApril 30, 2024
Certification dateApril 30, 2024

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