Individual
MARTIN J. KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
JOHN DEMPSEY HOSPITAL, 263 FARMINGTON AVENUE, MC-6410, FARMINGTON, CT 06030-0001
(860) 679-6700
Mailing address
JOHN DEMPSEY HOSPITAL, 263 FARMINGTON AVENUE, MC-6410, FARMINGTON, CT 06030-0001
(860) 679-6700
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
000165
CT
Other
Enumeration date
12/29/2006
Last updated
11/18/2022
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