Individual
KELLI ANN FREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC, CADC
Contact information
Practice address
523 LENORE PL, READING, PA 19609-1223
(610) 790-5342
Mailing address
523 LENORE PL, READING, PA 19609-1223
(610) 790-5342
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
265839
PA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
9397
PA
101YP2500X
Professional Counselor
PC006948
PA
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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