IndividualActive
Deserie Kelley
NPI 1942098652 · Peer Specialist · Missoula, MT
Provider details
- NPI number
- 1942098652
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- BBH-BHPS-CRT-78905 (MT)
Specialties & taxonomies
Other Service Providers
Practice location
2210 Mullan Rd
Missoula, MT 59808-2059
Phone: (406) 493-7041
Approximate (ZIP-level) locationGet directions
Mailing address
401 Railroad St W
Missoula, MT 59802-4178
Registry dates
- Enumerated
- 2025-04-30
- Last updated
- 2025-04-30
- Certified
- 2025-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.