Individual
CAITLIN KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
13 TEMPLE ST, QUINCY, MA 02169-5110
(617) 471-8400
Mailing address
13 TEMPLE ST, QUINCY, MA 02169-5110
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
09/21/2011
Last updated
08/24/2012
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