Individual provider · Type 1 NPI
Barbara Kelly, LPC
Professional Counselor · Bridgeport, CT
NPI number
1114284601
Active
Practice location
475 Clinton Ave
Bridgeport, CT 06605-1700
Fax (203) 368-9167
Mailing address
475 Clinton Avenue, Fsw, Inc
Bridgeport, CT 06605-1700
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 002178 (CT) |
Professional Counselor: Definition to come...
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About NPI 1114284601
Barbara Kelly, LPC's National Provider Identifier is 1114284601, issued on Apr 20, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bridgeport, CT. The record was last updated on Apr 20, 2012.