Individual provider · Type 1 NPI

Kelly Anne Shanley, LMHC, CASAC, MA

Mental Health Counselor · New York, NY

NPI number 1073845210 Active

Practice location

311 W 35th St
New York, NY 10001-1701

Fax (212) 643-1441

Mailing address

19 W 34th St Ph
New York, NY 10001-3006

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X22182 (NY)
Mental Health Counselor Primary 101YM0800X004658 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1073845210

Kelly Anne Shanley, LMHC, CASAC, MA's National Provider Identifier is 1073845210, issued on Feb 12, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in New York, NY. The record was last updated on Mar 23, 2011.