SearchIdaho1041C0700X

Angela Kelly, LCSW

NPI 1497015143 · on the registry since 2012

Practice

Address
822 Washington St
Montpelier, ID 83254
Phone
(208) 847-4464
Clinicians at this address
3

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-08-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho