| 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 | |
| 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 | |
| Ms. Gretchen D Jackson, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2 Terminal Dr, Suite 8, East Alton, IL 62024 Phone: 618-258-0485 Fax: 618-258-4815 |