Individual
MARIYA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
851 FRANKLIN LAKE RD STE 204, FRANKLIN LAKES, NJ 07417-2267
(833) 937-2724
Mailing address
851 FRANKLIN LAKE RD STE 204, FRANKLIN LAKES, NJ 07417-2267
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00323700
NJ
101YP2500X
Professional Counselor
Primary
37PC00722000
NJ
Other
Enumeration date
12/07/2020
Last updated
02/20/2026
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