Individual provider · Type 1 NPI
Patrick Mullen Kelly, MA, LAC, NCC
Mental Health Counselor · Mendham, NJ
NPI number
1164154563
Active
Practice location
6 Jane Ter
Mendham, NJ 07945-3117
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 37AC00556700 (NJ) |
Mental Health Counselor: Definition to come...
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About NPI 1164154563
Patrick Mullen Kelly, MA, LAC, NCC's National Provider Identifier is 1164154563, issued on Jun 26, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mendham, NJ. The record was last updated on Jun 26, 2022.