Provider Demographics
NPI:1912013913
Name:MCFEELY, KELLY JOANNE (LPC, NCC, DCC, ACS)
Entity Type:Individual
Prefix:MRS
First Name:KELLY
Middle Name:JOANNE
Last Name:MCFEELY
Suffix:
Gender:F
Credentials:LPC, NCC, DCC, ACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 VILLAGE CENTER DR
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19607-3343
Mailing Address - Country:US
Mailing Address - Phone:717-979-6940
Mailing Address - Fax:610-743-8694
Practice Address - Street 1:17 VILLAGE CENTER DR
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19607-3343
Practice Address - Country:US
Practice Address - Phone:717-979-6940
Practice Address - Fax:610-743-8694
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2014-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC002632101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional