Individual
KATHRYN KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, PMHNP-BC
Contact information
Practice address
186 LINCOLN ST, BOSTON, MA 02111-2403
(212) 203-1773
(646) 665-4427
Mailing address
274 MADISON AVE, NEW YORK, NY 10016-0701
(212) 203-1773
(646) 665-4427
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2363193
MA
Other
Enumeration date
06/17/2015
Last updated
06/08/2026
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