DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLY E. VENEZIA CRILLY, LAC, NCC

Active Sole Proprietor

KELLY E. VENEZIA CRILLY, LAC, NCC is a Counselor healthcare provider located in MAHWAH, New Jersey. NPI 1306506472 is currently active in the NPPES registry. Verify at CMS.

Counselor · MAHWAH, NJ

Registration Details

NPI Number
1306506472
Provider Type
Individual
Gender
Female
NPI Issued
Dec 30, 2021 (4.5874660287682 yrs)
Last Updated
Dec 30, 2021
Licenses
1086514 (NJ)
37AC00614600 (NJ)
Sole Proprietor
Yes

Practice Information

Address
860 WYCKOFF AVE STE 206&305
MAHWAH, NJ, 074303186
Browse NJ providers · Browse ZIP 07430
Phone
5513192029
Primary Specialty
Counselor
101Y00000X
Additional Specialty
Counselor

Other Counselor Providers in MAHWAH, NJ

Name Credential NPI
LISA WININGTON II 1942404587
LARISSA MAE SAVERI 1023544780
HOLLY O'ROURKE CPC,ELI-MP 1700437811
EMILY GREEN 1639839624
KIMBERLY PEREZ-LUCERO 1538852264
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.