Individual
KELLY MARIE MCELVAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
49 NEDSLAND AVE, TITUSVILLE, NJ 08560-1715
(732) 713-2672
Mailing address
49 NEDSLAND AVE, TITUSVILLE, NJ 08560-1715
(732) 713-2672
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00511000
NJ
Other
Enumeration date
12/09/2014
Last updated
04/12/2019
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