Organization
KELLY CONNELL COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY CONNELL MA/ED.S, LPC (INCORPORATOR)
(973) 567-6886
Entity
Organization
Contact information
Practice address
15 KATHAY DR, LIVINGSTON, NJ 07039-4711
(201) 543-7651
Mailing address
PO BOX 652, LIVINGSTON, NJ 07039-0652
(973) 567-6886
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
37PC00589400
NJ
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/15/2017
Last updated
04/21/2022
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