Mr. Brian Lee Kelley
Professional Counselor
3317 W 95th St
Evergreen Park
, Illinois 60805-2243
Mr. Brian Lee Kelley
Professional Counselor
3317 W 95th St
Evergreen Park
, Illinois 60805-2243
(773) 316-8697
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About
Features
Specialties
- Professional Counselor
Languages spoken
- English
Location
First Address
- Mr. Brian Lee Kelley
- 10s141 Suffield Dr
- Downers Grove, IL
- Zip : 60516-5184
- Phone : (773) 316-8697
Second Address
- Mr. Brian Lee Kelley
- 3317 W 95th St
- Evergreen Park, IL
- Zip : 60805-2243
- Phone : (708) 529-3011
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YP2500X | Professional Counselor | 180007807 | IL |
National Provider Identifier
| NPI | 1003191990 |
|---|---|
| Provider Name | Mr. Brian Lee Kelley |
| First Address | Downers Grove, IL 60516-5184 |
| Second Address | Evergreen Park, IL 60805-2243 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/10/2011 |
| Last Update Date | 24/01/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.