Kelly A Sallie, LCADC, CPRS, CCTP
Counselor, Addiction (Substance Use Disorder) in Mount Tabor, New Jersey
1386319960- Practice location
- 14 Hilsinger RD # 240, Mount Tabor, NJ 07878-9226
- Phone
- 973-404-0214
- Fax
- —
- Last updated
- August 15, 2021
Kelly A Sallie is a Counselor, Addiction (Substance Use Disorder) based in Mount Tabor, NJ. Kelly A Sallie practices in Mount Tabor, NJ and has the professional credentials of LCADC, CPRS, CCTP. The NPI Number for Kelly A Sallie is 1386319960 and holds a License No. 37LC00331800 (NJ). The current practice location address for Kelly A Sallie is 14 Hilsinger RD # 240, Mount Tabor, NJ 07878-9226 and can be reached out via phone at 973-404-0214.
Provider Profile Details
- NPI Number
- 1386319960
- Provider Name
- Kelly A Sallie
- Credential
- LCADC, CPRS, CCTP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 14 Hilsinger RD # 240, Mount Tabor, NJ 07878-9226
- Phone Number
- 973-404-0214
- Primary Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 15, 2021
- Last Update Date
- August 15, 2021
- Certification Date
- August 15, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 14 Hilsinger RD # 240
Mount Tabor, NJ 07878-9226 - City
- Mount Tabor
- State
- New Jersey
- Zip
- 07878-9226
- Phone Number
- 973-404-0214
Provider Business Mailing Address Details
- Address
- Po Box 240
Mount Tabor, NJ 07878-0240 - City
- Mount Tabor
- State
- NJ
- Zip
- 07878-0240
- Phone Number
- 973-404-0214
License Information
- License Number (1)
- 37LC00331800
- License State (1)
- NJ
- Taxonomy (1)
- Counselor · 101Y00000X
- License Number (2)
- 37LC00331800
- License State (2)
- NJ
- Taxonomy (2)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Addiction (Substance Use Disorder) providers near Mount Tabor, NJ
View all Counselor, Addiction (Substance Use Disorder) providers in Mount Tabor →Frequently Asked Questions
What is the NPI number of Kelly A Sallie, LCADC, CPRS, CCTP?
The NPI number of Kelly A Sallie, LCADC, CPRS, CCTP is 1386319960. It was assigned on August 15, 2021 and is currently active in the NPPES registry.
What is the specialty of Kelly A Sallie, LCADC, CPRS, CCTP?
Kelly A Sallie, LCADC, CPRS, CCTP is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in NJ under license number 37LC00331800.
Where does Kelly A Sallie, LCADC, CPRS, CCTP practice?
The practice location is 14 Hilsinger RD # 240, Mount Tabor, NJ 07878-9226. The office can be reached at 973-404-0214 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1386319960 directly on the NPPES registry website.