| Doctor Name: | CATHERINE KELLY |
| NPI Number: | 1033444955 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | # LPC-1106 |
| Business Practice Address: | 417 E Fremont St Laramie, WY - 820723143 |
| Business Phone Number: | 3077609081 |
| Business Fax Number: | 3077423440 |
| Mailing Address: | 1005 E Sully St, LARAMIE |
| State: | WY |
| Postal Code: | 820722757 |
| Phone Number: | 3077609081 |
| Fax Number: | 3077423440 |
| NPI Enumeration Date: | 10/09/2009 |
| NPI Last Update Date: | 10/09/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | # LPC-1106 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |