National Provider Identifier

Terry Kelly, BA

Terry Kelly, BA is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Bath, NY and a listed phone number of (607) 776-6577.

NPI 1124104898Bath, NYMental Health Counselor

Profile Overview

NPI
1124104898
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
October 27, 2006
Last Updated
July 08, 2007

Practice Location

  • 115 Liberty St
  • Bath, NY 14810-1508

Phone: (607) 776-6577

Specialties

  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1124104898
Entity Type
Individual
Last Name
Kelly
First Name
Terry
Credential
BA
Mailing Street Address
115 Liberty St
Mailing City
Bath
Mailing State
NY
Mailing ZIP Code
14810-1508
Mailing Country
US
Practice Street Address
115 Liberty St
Practice City
Bath
Practice State
NY
Practice ZIP Code
14810-1508
Practice Country
US
Practice Phone
(607) 776-6577
Enumeration Date
October 27, 2006
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)