Organization
SAMANTHA KELLAR LPC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAMANTHA KELLAR LPC (PRESIDENT)
(973) 879-1024
Entity
Organization
Contact information
Practice address
49 BALLANTINE RD, MIDDLETOWN, NJ 07748-3000
(973) 879-1024
Mailing address
49 BALLANTINE RD, MIDDLETOWN, NJ 07748-3000
(973) 879-1024
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
37PC00460500
NJ
Other
Enumeration date
05/02/2017
Last updated
05/02/2017
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