Individual
KATHLEEN LYNCH KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, CADC
Contact information
Practice address
447 EATON WAY, WEST CHESTER, PA 19380-6929
(267) 619-5522
Mailing address
447 EATON WAY, WEST CHESTER, PA 19380-6929
(267) 619-5522
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14792
PA
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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