Individual provider · Type 1 NPI

Mariya Kelly

Professional Counselor · Franklin Lakes, NJ

NPI number 1639775513 Active

Practice location

851 Franklin Lake Rd Ste 204
Franklin Lakes, NJ 07417-2267

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X37PC00722000 (NJ)
Addiction (Substance Use Disorder) Counselor 101YA0400X37LC00323700 (NJ)

Professional Counselor: Definition to come...

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About NPI 1639775513

Mariya Kelly's National Provider Identifier is 1639775513, issued on Dec 7, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Franklin Lakes, NJ. The record was last updated on Feb 20, 2026.