Individual
DINA KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
121 SHELLEY DR STE 2E, HACKETTSTOWN, NJ 07840-2530
(201) 213-0318
(908) 979-1600
Mailing address
16 W MAPLE AVE, LONG VALLEY, NJ 07853-3400
(201) 213-0318
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37PC00778500
NJ
Other
Enumeration date
11/07/2021
Last updated
11/07/2021
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