Individual provider · Type 1 NPI
Michael E. Kelly, LCSW
Mental Health Counselor · Randolph, NJ
NPI number
1639233547
Active
Practice location
37 Ridgewood Dr
Randolph, NJ 07869-3751
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 44SC04703100 (NJ) |
Mental Health Counselor: Definition to come...
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About NPI 1639233547
Michael E. Kelly, LCSW's National Provider Identifier is 1639233547, issued on Dec 22, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Randolph, NJ. The record was last updated on Jul 8, 2007.