Individual
JOSEPH KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC,CPT
Contact information
Practice address
215 SUGARTOWN RD., WAYNE, PA 19087
(610) 964-8800
Mailing address
215 SUGARTOWN RD., WAYNE, PA 19087
(610) 964-8800
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC008422
PA
Other
Enumeration date
11/13/2015
Last updated
11/13/2015
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