Provider Demographics
NPI:1518542836
Name:SANTEE, KELLI ANN (MA, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:KELLI
Middle Name:ANN
Last Name:SANTEE
Suffix:
Gender:F
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:KELLI
Other - Middle Name:
Other - Last Name:SANTEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1323 SCHLAGER ST
Mailing Address - Street 2:
Mailing Address - City:SCRANTON
Mailing Address - State:PA
Mailing Address - Zip Code:18504-1564
Mailing Address - Country:US
Mailing Address - Phone:570-468-9000
Mailing Address - Fax:
Practice Address - Street 1:1323 SCHLAGER ST
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18504-1564
Practice Address - Country:US
Practice Address - Phone:570-468-9000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-17
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC012769101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional