Individual provider · Type 1 NPI

Kelly Jean Ilardi

Mental Health Counselor · Far Rockaway, NY

NPI number 1164610309 Active

Practice location

1329 Beach Channel Dr
Far Rockaway, NY 11691-3211

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1164610309

Kelly Jean Ilardi's National Provider Identifier is 1164610309, issued on Oct 12, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Far Rockaway, NY. The record was last updated on Oct 12, 2007.