| Barbara Kelly, Lpc | |
|
153 Greenwich Avenue Barbara Kelly, Lpc Bethel CT 06801 | |
| (203) 232-5325 | |
| (203) 368-9167 |
| Full Name | Barbara Kelly, Lpc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 153 Greenwich Avenue, Bethel, Connecticut |
| Authorized Official Name and Position | Grace Cullen (BILLING MANAGER) |
| Authorized Official Contact | 2033685515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Barbara Kelly, Lpc 153 Greenwich Avenue Barbara Kelly, Lpc Bethel CT 06801 Ph: (203) 232-5325 | Barbara Kelly, Lpc 153 Greenwich Avenue Barbara Kelly, Lpc Bethel CT 06801 Ph: (203) 232-5325 |
| NPI Number | 1861800625 |
|---|---|
| Provider Enumeration Date | 07/24/2014 |
| Last Update Date | 07/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861800625 | NPI | - | NPPES |
| 004069985 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 002178 (Connecticut) | Primary |
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