Individual
KATHRYN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CLAT
Contact information
Practice address
291 S LAMBERT RD STE 2, ORANGE, CT 06477-3559
(475) 414-6307
Mailing address
219 FOUNTAIN ST APT 10, NEW HAVEN, CT 06515-1983
(203) 444-7040
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
006241
CT
221700000X
Art Therapist
53
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006241
DEPARTMENT OF PUBLIC HEALTH
CT
01
—
52
CT DPH
CT
Enumeration date
09/10/2021
Last updated
04/17/2023
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