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

MR. MICHAEL E KELLY, LCSW

Active Sole Proprietor

MR. MICHAEL E KELLY, LCSW is a Mental Health Counselor healthcare provider located in RANDOLPH, New Jersey. NPI 1639233547 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · RANDOLPH, NJ

Registration Details

NPI Number
1639233547
Provider Type
Individual
Gender
Male
NPI Issued
Dec 22, 2006 (19.646165822537 yrs)
Last Updated
Jul 8, 2007
License
44SC04703100 (NJ)
Sole Proprietor
Yes

Practice Information

Address
37 RIDGEWOOD DR
RANDOLPH, NJ, 078693751
Browse NJ providers · Browse ZIP 07869
Phone
9739897750
Primary Specialty
Mental Health Counselor
101YM0800X

Other Mental Health Counselor Providers in RANDOLPH, NJ

Name Credential NPI
DR. SUSAN GAIL HERSCHMAN PSY.D. 1659494920
STEPHANIE JASINSKI LPC 1851800114
ALISON MARIE WARD LMSW 1801647193
DANIELA OLIVERA MA, LAC 1699596742
LUZ VENTURA-POLANCO 1548123391
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.