Doctor Name: | MRS. MELANEE KELLEY-KAHL |
NPI Number: | 1023290285 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, P-LCSW |
License Number: | P003964 |
Business Practice Address: | 1401 Long St. High Point, NC - 27262 |
Business Phone Number: | 3368896161 |
Business Fax Number: | |
Mailing Address: | 1401 Long St., HIGH POINT |
State: | NC |
Postal Code: | 27262 |
Phone Number: | 3368896161 |
Fax Number: | |
NPI Enumeration Date: | 11/29/2007 |
NPI Last Update Date: | 11/29/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | P003964 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |