Individual
KELLI KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMA, NAVIGATOR
Contact information
Practice address
526 WATER ST, BELVIDERE, NJ 07823-1310
(908) 475-4600
Mailing address
53 BLACK OAK DR, VERNON, NJ 07462-3415
(973) 570-4615
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/30/2020
Last updated
06/30/2020
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