Individual
AMY KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW,MLADC, LCS
Contact information
Practice address
373 S WILLOW ST # 125, MANCHESTER, NH 03103-5751
(603) 260-0646
Mailing address
373 S WILLOW ST # 125, MANCHESTER, NH 03103-5751
(603) 260-0646
(603) 218-7099
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
528
NH
1041C0700X
Clinical Social Worker
Primary
1145
NH
Other
Enumeration date
10/07/2008
Last updated
06/23/2025
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