Provider Demographics
NPI:1740208057
Name:KELLY, D. FRANCESCA (LMFT)
Entity Type:Individual
Prefix:MS
First Name:D. FRANCESCA
Middle Name:
Last Name:KELLY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 N EL CAMINO REAL
Mailing Address - Street 2:
Mailing Address - City:SAN CLEMENTE
Mailing Address - State:CA
Mailing Address - Zip Code:92672-4985
Mailing Address - Country:US
Mailing Address - Phone:949-361-8883
Mailing Address - Fax:949-361-8884
Practice Address - Street 1:1401 N EL CAMINO REAL
Practice Address - Street 2:SUITE 113
Practice Address - City:SAN CLEMENTE
Practice Address - State:CA
Practice Address - Zip Code:92672-4985
Practice Address - Country:US
Practice Address - Phone:949-361-8883
Practice Address - Fax:949-361-8884
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA40206106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist