JENNIFER KELLY LAC NPI 1659989770

NPI Information

NPI: 1659989770
Provider Name: JENNIFER KELLY, LAC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
281 STATE ROUTE 79 N
MORGANVILLE, NJ
ZIP 07751
Phone: (732) 768-4684
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Jennifer Kelly, LAC is a professional counselor in Morganville, NJ. Jennifer Kelly, LAC NPI is 1659989770. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

281 STATE ROUTE 79 N
MORGANVILLE, NJ
ZIP 07751-157
Phone: (732) 768-4684

The enumeration date for this NPI number is 7/14/2020 and was last updated on 7/14/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	37AC00527400	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	913134183	OTHER	NEW JERSEY	UNITED HEALTHCARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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