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Individual
KELLYANNE RICHMOND
Active
Individual
KELLYANNE RICHMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, LCADC, LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC0224600
NJ
101YM0800X
Mental Health Counselor
068.0136330
VT
101YM0800X
Mental Health Counselor
Primary
37PC00743100
NJ
101YM0800X
Mental Health Counselor
TPMC5265
FL
101YP2500X
Professional Counselor
LPC.0021628
CO
Other
Enumeration date
06/14/2017
Last updated
02/20/2026
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