Individual
EMILY KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
225 N MAIN ST STE SUITE80, BRISTOL, CT 06010-4926
(860) 506-7905
Mailing address
225 N MAIN ST STE 80, BRISTOL, CT 06010-4926
(413) 285-3274
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
068.0136426
VT
101YP2500X
Professional Counselor
Primary
003551
CT
Other
Enumeration date
07/18/2016
Last updated
07/30/2025
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