| Doctor Name: | MRS. KELI DAWN DE CARLO |
| NPI Number: | 1134564297 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC, NCC |
| License Number: | PC006874 |
| Business Practice Address: | 416 S. Pittsburgh Street Connellsville Counseling And Psychological Services Connellsville, PA - 15425 |
| Business Phone Number: | 7246268420 |
| Business Fax Number: | |
| Mailing Address: | 23 Liberty Street, Smithfield Elementary School SMITHFIELD |
| State: | PA |
| Postal Code: | 15478 |
| Phone Number: | 7245699570 |
| Fax Number: | |
| NPI Enumeration Date: | 05/02/2013 |
| NPI Last Update Date: | 05/02/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | PC006874 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |