Individual
JANET KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 CHURCH ST STE 204, WALLINGFORD, CT 06492-2253
(203) 314-0940
Mailing address
300 CHURCH ST STE 204, WALLINGFORD, CT 06492-2253
(203) 314-0940
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000687
CT
Other
Enumeration date
03/07/2022
Last updated
03/07/2022
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