| Doctor Name: | MS. CAROL J. KELLY |
| NPI Number: | 1184743056 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LCPC |
| License Number: | 1148 |
| Business Practice Address: | 1469 Highway 2 South Libby, MT - 59923 |
| Business Phone Number: | 4065329100 |
| Business Fax Number: | 4068274491 |
| Mailing Address: | T-9 Fort Missoula, MISSOULA |
| State: | MT |
| Postal Code: | 598047202 |
| Phone Number: | 4065328400 |
| Fax Number: | |
| NPI Enumeration Date: | 03/29/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 1148 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |