Lookup NPI Numbers from the NPI Registry
NPI Profile for MARK H KELSO in JACKSONVILLE, AR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker |
| NPI # | 1245667237 |
|
| Status | Active | |
| Credentials | LCSW (Licensed Clinical Social Worker) | |
| Entity | Individual | |
| Enumeration date | 10/04/2013 | |
| Last updated | 12/18/2014 - About 11 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MARK H KELSO
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MARK H KELSO, LCSW