person
Kellyanne Richmond, MA,LPC,LCADC
Mental Health Counselor in Iselin, New Jersey
NPI 1164952867

Kellyanne Richmond is a Mental Health Counselor based in Iselin, NJ and is specialized in Mental Health. Kellyanne Richmond practices in Iselin, NJ and has the professional credentials of MA,LPC,LCADC. The NPI Number for Kellyanne Richmond is 1164952867 and holds a License No. 37LC0224600 (New Jersey).

The current practice location address for Kellyanne Richmond is 200 Middlesex Tpke Ste 102, Iselin, NJ and can be reached out via phone at 862-266-5758.

Location: 200 Middlesex Tpke Ste 102, Iselin, NJ, 08830-2033
person
Provider Profile Details
NPI Number
1164952867
Provider Name
Kellyanne Richmond
Credential
MA,LPC,LCADC
Provider Entity Type
Individual
Gender
Female
Address
200 Middlesex Tpke Ste 102, Iselin, NJ, 08830-2033
Phone Number
862-266-5758
Fax Number
Provider Enumeration Date
06/14/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
200 Middlesex Tpke Ste 102
City
State
Zip
08830-2033
Phone Number
862-266-5758
Fax Number
person
Provider Business Mailing Address Details
Address
200 Middlesex Tpke Ste 102
City
State
Zip
08830-2033
Phone Number
862-266-5758
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
37PC00743100 (New Jersey)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
37LC0224600 (New Jersey)
Definition
Definition to come...
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