Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIMOTHY J KELLY, MA, LCPC
ActiveCounselor · EAST SAINT LOUIS, IL
Registration Details
- NPI Number
- 1720746308
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 1, 2021 (4.4227897722964 yrs)
- Last Updated
- Dec 1, 2021
- Licenses
-
180013984 (IL)180013984 (IL)
Practice Information
- Address
-
9400 LEBANON RDEAST SAINT LOUIS, IL, 622032214Browse IL providers · Browse ZIP 62203
- Phone
- 6183970968
- Primary Specialty
-
Counselor
101Y00000X
- Additional Specialty
- Counselor
Other Counselor Providers in EAST SAINT LOUIS, IL
| Name | Credential | NPI |
|---|---|---|
| MAYRA VELASCO | — | 1720322662 |
| MARILYN HOLMES | MA, LPC, ATR-P | 1558029207 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.