Individual provider · Type 1 NPI
Kelly A. Sallie, LCADC, CPRS, CCTP
Addiction (Substance Use Disorder) Counselor · Mount Tabor, NJ
NPI number
1386319960
Active
Practice location
14 Hilsinger Rd # 240
Mount Tabor, NJ 07878-9226
Mailing address
PO Box 240
Mount Tabor, NJ 07878-0240
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | 37LC00331800 (NJ) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 37LC00331800 (NJ) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1386319960
Kelly A. Sallie, LCADC, CPRS, CCTP's National Provider Identifier is 1386319960, issued on Aug 15, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mount Tabor, NJ. The record was last updated on Aug 15, 2021.