Most Relevant Information
Provider Data
| NPI Number: | 1003351446 |
| Provider Name: | JOCELYN KELLY |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/20/2016 |
| Last Updated: | 12/20/2016 |
Provider Practice Location
1735 SAINT JULIAN PL
SUITE 102
COLUMBIA
SC
292042402
Practice Location Phone/Fax
| Phone: | 8037085081 |
| Fax: |
Provider Mailing Location
430 KETTERING CT
COLUMBIA
SC
292104200
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |