Individual
KELLY J CIARLETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LAC
Contact information
Practice address
73 W END AVE, SOMERVILLE, NJ 08876-1828
(908) 256-6965
Mailing address
198 STANTON MOUNTAIN RD, LEBANON, NJ 08833-3103
(908) 872-6435
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00239100
NJ
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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