| Kelly Dorris, | |
|
645 Berkshire Blvd, East Alton, IL 62024-1324 | |
| (618) 258-8750 | |
| (618) 258-8751 |
| Full Name | Kelly Dorris |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 645 Berkshire Blvd, East Alton, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619432275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Dorris, 5115 Williams Pl, Godfrey, IL 62035-1175 Ph: (618) 979-1088 | Kelly Dorris, 645 Berkshire Blvd, East Alton, IL 62024-1324 Ph: (618) 258-8750 |
Eric Royal, AA Counselor Medicare: Not Enrolled in Medicare Practice Location: 515 Niagara St, East Alton, IL 62024 Phone: 618-259-0705 | |
Tania Evans, CRADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 211 N Shamrock St, East Alton, IL 62024 Phone: 618-258-0021 | |
Sharon Diaz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 515 Niagara St, East Alton, IL 62024 Phone: 618-259-0705 Fax: 618-462-2504 | |
Michelle Sawyer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 515 Niagara St, East Alton, IL 62024 Phone: 618-259-0705 Fax: 618-462-2504 | |
Nakeia Jackosn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 515 Niagara St, East Alton, IL 62024 Phone: 618-462-2331 Fax: 618-462-2504 | |
Callista Poiter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 515 Niagara St, East Alton, IL 62024 Phone: 618-462-2331 Fax: 618-462-2504 |