Individual provider · Type 1 NPI
Kelly E. Venezia Crilly, LAC, NCC
Counselor · Mahwah, NJ
NPI number
1306506472
Active
Practice location
860 Wyckoff Ave Ste 206&305
Mahwah, NJ 07430-3186
Mailing address
29 Hibernia Rd
Rockaway, NJ 07866-1824
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| School Counselor | 101YS0200X | 1086514 (NJ) |
| Counselor Primary | 101Y00000X | 37AC00614600 (NJ) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Other counselor providers in Mahwah
About NPI 1306506472
Kelly E. Venezia Crilly, LAC, NCC's National Provider Identifier is 1306506472, issued on Dec 30, 2021. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Mahwah, NJ. The record was last updated on Dec 30, 2021.