Individual
MS. KELSEY ELIZABETH WETMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LCADC
Contact information
Practice address
270 ROUTE 35, RED BANK, NJ 07701-5920
(732) 842-2000
Mailing address
270 ROUTE 35, RED BANK, NJ 07701-5920
(732) 842-2000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37PC00639700
NJ
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00277700
NJ
Other
Enumeration date
09/26/2018
Last updated
09/26/2018
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