Organization
BARBARA KELLY, LPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE CULLEN (BILLING MANAGER)
(203) 368-5515
Entity
Organization
Contact information
Practice address
153 GREENWICH AVENUE, BARBARA KELLY, LPC, BETHEL, CT 06801
(203) 232-5325
(203) 368-9167
Mailing address
153 GREENWICH AVENUE, BARBARA KELLY, LPC, BETHEL, CT 06801
(203) 232-5325
(203) 368-9167
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002178
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004069985
—
CT
Enumeration date
07/24/2014
Last updated
07/24/2014
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