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MS. DEBRA J KELLY MFT
NPI 1093078867
Counselor - Mental Health in Santa Rosa, CA

Active since June 18, 2012
114 SOTOYOME ST, SANTA ROSA, CA 95405(707) 569-0459(707) 570-3941 Get Directions Write a Review

NPPES record last updated: June 18, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Debra J Kelly Mft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. DEBRA J KELLY MFT (NPI 1093078867) is an individual mental health provider in Santa Rosa, California, licensed in California (MFC19530) and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1093078867
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. DEBRA J KELLYCredential: MFT
Location Address114 SOTOYOME STSanta Rosa, CA 95405-4804
Mailing Address114 Sotoyome StSanta Rosa, CA 95405-4804 · (707) 569-0459 · Fax (707) 570-3941
Phone(707) 569-0459
Fax(707) 570-3941
Sole ProprietorYes
Enumeration DateJune 18, 2012
✔ NPI 1093078867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · MFC19530
114 SOTOYOME ST, Santa Rosa, CA 95405
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Debra Kelly's NPI number?

The NPI number for Debra Kelly is 1093078867. It was assigned to this individual provider in the NPPES registry on June 18, 2012.

Where is Debra Kelly located?

Debra Kelly practices at 114 Sotoyome St, Santa Rosa, CA 95405. The listed phone number is (707) 569-0459.

What is Debra Kelly's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Debra Kelly was last updated on June 18, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.