Individual
KELLY SHOPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA,LPC
Contact information
Practice address
875 KINGS HWY STE 100, WEST DEPTFORD, NJ 08096-3165
(856) 251-0500
(856) 797-4785
Mailing address
882 WASHINGTON AVE, FRANKLINVILLE, NJ 08322-2823
(856) 516-4933
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00215500
NJ
Other
Enumeration date
12/21/2018
Last updated
12/21/2018
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