Individual provider · Type 1 NPI
Kelly Anne Davis, MA, LAC
Mental Health Counselor · Matawan, NJ
NPI number
1942086814
Active
Practice location
166 Main St
Matawan, NJ 07747-3104
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 37AC00731000 (NJ) |
Mental Health Counselor: Definition to come...
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About NPI 1942086814
Kelly Anne Davis, MA, LAC's National Provider Identifier is 1942086814, issued on Sep 6, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Matawan, NJ. The record was last updated on Sep 6, 2023.