Individual
SAMANTHA KELLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, ACS
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
101Y00000X
Counselor
Primary
37PC00460500
NJ
Other
Enumeration date
11/22/2023
Last updated
11/22/2023
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