Individual
ANDREA JUNE KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
43 BRITTANY DR, WEST HURLEY, NY 12491-5603
(845) 201-9664
Mailing address
77 GAGE ST, KINGSTON, NY 12401-3019
(845) 201-9664
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
011280
NY
101YM0800X
Mental Health Counselor
103028-01
NY
Other
Enumeration date
10/07/2020
Last updated
01/21/2026
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