Individual provider · Type 1 NPI

Kelly O'Sullivan, LPC

Mental Health Counselor · Fair Lawn, NJ

NPI number 1386414332 Active

Practice location

12-00 1st St
Fair Lawn, NJ 07410-1155

Call (201) 794-5470 Map

Mailing address

121 Chanlon Rd
New Providence, NJ 07974-1543

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X37PC00674500 (NJ)

Mental Health Counselor: Definition to come...

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About NPI 1386414332

Kelly O'Sullivan, LPC's National Provider Identifier is 1386414332, issued on Jan 2, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fair Lawn, NJ. The record was last updated on Jan 2, 2024.