Individual provider · Type 1 NPI
Kelly M. Gentry, LPC
Professional Counselor · Nutley, NJ
NPI number
1306372370
Active
Practice location
114 Coeyman Ave
Nutley, NJ 07110-1502
Mailing address
114 Coeyman Ave Ste 206
Nutley, NJ 07110-1502
Other practice locations
- 172 Broadway, Suite 206, Woodcliff Lake, NJ 07677-8077 · (201) 746-0264
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 37PC00681100 (NJ) |
Professional Counselor: Definition to come...
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About NPI 1306372370
Kelly M. Gentry, LPC's National Provider Identifier is 1306372370, issued on May 11, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Nutley, NJ. The record was last updated on Jun 9, 2021.