| Timothy J Kelly, MA, LCPC | |
|
9400 Lebanon Rd, East Saint Louis, IL 62203-2214 | |
| (618) 397-0968 | |
| Not Available |
| Full Name | Timothy J Kelly |
|---|---|
| Gender | Male |
| Speciality | Counselor |
| Location | 9400 Lebanon Rd, East Saint Louis, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720746308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180013984 (Illinois) | Secondary |
| 101Y00000X | Counselor | 180013984 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy J Kelly, MA, LCPC 9400 Lebanon Rd, East Saint Louis, IL 62203-2214 Ph: (618) 397-0968 | Timothy J Kelly, MA, LCPC 9400 Lebanon Rd, East Saint Louis, IL 62203-2214 Ph: (618) 397-0968 |
Marianna Peterson, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 5601 State St, East Saint Louis, IL 62203 Phone: 618-213-3170 Fax: 618-493-6390 | |
Gina Ash, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8704 State St, East Saint Louis, IL 62203 Phone: 618-207-3479 | |
Mrs. Tina Yvonne Pettiford, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5501 N Park Dr, East Saint Louis, IL 62204 Phone: 618-244-5119 | |
Ms. Margi Lynn Wagner-farley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3120 State St Ste A, East Saint Louis, IL 62205 Phone: 618-875-0673 Fax: 618-875-0861 | |
Mayra Velasco, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5601 State St, East Saint Louis, IL 62203 Phone: 618-213-3170 Fax: 618-213-3171 | |
Ms. Alicia Michelle Collier, Counselor Medicare: Medicare Enrolled Practice Location: 2420 State St, East Saint Louis, IL 62205 Phone: 618-318-8809 Fax: 618-615-4205 |