Individual
KELLY CELESTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
150 RUMFORD AVE APT 411, MANSFIELD, MA 02048-2150
(774) 254-1412
Mailing address
150 RUMFORD AVE APT 411, MANSFIELD, MA 02048-2150
(774) 254-1412
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TS0200X
School Psychologist
Primary
494300
MA
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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