Individual provider · Type 1 NPI
Jeanette Ann Kelly, LPC
Professional Counselor · New York, NY
NPI number
1306531124
Active
Practice location
114 5th Ave Fl 2
New York, NY 10011-5611
Mailing address
4 Sandstone Ct
Medford, NJ 08055-8502
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 37PC00931100 (NJ) |
Professional Counselor: Definition to come...
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About NPI 1306531124
Jeanette Ann Kelly, LPC's National Provider Identifier is 1306531124, issued on Apr 7, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in New York, NY. The record was last updated on Apr 7, 2023.