Individual
KELLY ANN RAFTER-KWORTNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
160 ATLANTIC CITY BLVD, BAYVILLE, NJ 08721-1229
(732) 349-5550
Mailing address
1173 LAUREL DR, TOMS RIVER, NJ 08753-3173
(732) 557-7104
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37AC00338300
NJ
Other
Enumeration date
04/03/2020
Last updated
12/16/2021
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