Individual
KELLY ANN MABIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, LAC, NCC
Contact information
Practice address
155 WILLOWBROOK BLVD STE 320, WAYNE, NJ 07470-7027
(862) 212-3468
Mailing address
155 WILLOWBROOK BLVD STE 320, WAYNE, NJ 07470-7027
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00589600
NJ
Other
Enumeration date
09/12/2021
Last updated
09/12/2021
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