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Contact Information

SHELLY KELLEY, LCAC
776 GRABER COURT
COLUMBIA CITY, IN46725
 Phone: 260-388-2356
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
 

Counselor

101Y00000X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for SHELLY KELLEY · (Female)

NPI # 1598497869
Status Active
Credentials LCAC
Entity Individual
Enumeration date 06/27/2022
Last updated 06/27/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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