Active NPIIndividual provider

Kelly A Mabin, MED, LAC, NCC

Counselor in Wayne, New Jersey

NPI Number1922777994
Practice location
155 Willowbrook Blvd Ste 320, Wayne, NJ 07470-7027
Fax
—
Last updated
September 12, 2021

Kelly Ann Mabin is a Counselor based in Wayne, NJ. Kelly Ann Mabin practices in Wayne, NJ and has the professional credentials of MED, LAC, NCC. The NPI Number for Kelly Ann Mabin is 1922777994 and holds a License No. 37AC00589600 (NJ). The current practice location address for Kelly Ann Mabin is 155 Willowbrook Blvd Ste 320, Wayne, NJ 07470-7027 and can be reached out via phone at 862-212-3468.

Provider Profile Details

NPI Number
1922777994
Provider Name
Kelly Ann Mabin
Credential
MED, LAC, NCC
Provider Entity Type
Individual
Gender
Female
Address
155 Willowbrook Blvd Ste 320, Wayne, NJ 07470-7027
Phone Number
862-212-3468
Primary Taxonomy
Counselor · 101Y00000X
Sole Proprietor
No
Provider Enumeration Date
September 12, 2021
Last Update Date
September 12, 2021
Certification Date
September 3, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
155 Willowbrook Blvd Ste 320
Wayne, NJ 07470-7027
City
Wayne
Zip
07470-7027
Phone Number
862-212-3468
Wayne, NJ 07470Get directions →

Provider Business Mailing Address Details

Address
155 Willowbrook Blvd Ste 320
Wayne, NJ 07470-7027
City
Wayne
State
NJ
Zip
07470-7027

License Information

License Number
37AC00589600
License State
NJ
Taxonomy
Counselor · 101Y00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kelly A Mabin, MED, LAC, NCC?

The NPI number of Kelly A Mabin, MED, LAC, NCC is 1922777994. It was assigned on September 12, 2021 and is currently active in the NPPES registry.

What is the specialty of Kelly A Mabin, MED, LAC, NCC?

Kelly A Mabin, MED, LAC, NCC is registered under the primary taxonomy Counselor (code 101Y00000X), licensed in NJ under license number 37AC00589600.

Where does Kelly A Mabin, MED, LAC, NCC practice?

The practice location is 155 Willowbrook Blvd Ste 320, Wayne, NJ 07470-7027. The office can be reached at 862-212-3468 (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 1922777994 directly on the NPPES registry website.

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