Provider Demographics
NPI:1871774596
Name:MORSE, KELLY A (MED, LPC)
Entity type:Individual
Prefix:MRS
First Name:KELLY
Middle Name:A
Last Name:MORSE
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1092 E 255 S.
Mailing Address - Street 2:
Mailing Address - City:LAYTON
Mailing Address - State:UT
Mailing Address - Zip Code:84041
Mailing Address - Country:US
Mailing Address - Phone:801-815-3959
Mailing Address - Fax:801-451-8249
Practice Address - Street 1:1092 E. 255 S.
Practice Address - Street 2:
Practice Address - City:LAYTON
Practice Address - State:UT
Practice Address - Zip Code:84041
Practice Address - Country:US
Practice Address - Phone:801-815-3959
Practice Address - Fax:801-451-8249
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-21
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5497519-6004101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional