SearchIllinois1041C0700X

Nicole Kelley, LCSW

NPI 1659473437 · on the registry since 2006 · sole proprietor

Practice

Address
112 Boeykens Pl
Suite 4a
Normal, IL 61761
Phone
(309) 242-7925
Fax
(309) 454-9521
Clinicians at this address
10

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-03-30

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 Illinois