Individual provider · Type 1 NPI
Kathleen Connelly, LAC
Professional Counselor · Evesham, NJ
NPI number
1073251609
Active
Practice location
105 Evesboro Medford Rd
Evesham, NJ 08053-3865
Mailing address
216 Franklin St
Clayton, NJ 08312-1738
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 37PC01136900 (NJ) |
Professional Counselor: Definition to come...
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About NPI 1073251609
Kathleen Connelly, LAC's National Provider Identifier is 1073251609, issued on May 24, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Evesham, NJ. The record was last updated on Oct 13, 2025.