Individual
MS. ANN M. KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.A.S.A.C.
Contact information
Practice address
500 8TH AVE, 3RD FLOOR, NEW YORK, NY 10018-6504
(212) 904-1150
Mailing address
243 E 27TH ST, NEW YORK, NY 10016-9159
(212) 725-2980
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
8486
NY
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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