Richmond, Kellyanne

Richmond, Kellyanne is an individual health care provider with primary practice located at 200 Middlesex Tpke Ste 102 , Iselin NJ 08830-2033. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Richmond, Kellyanne can be contacted via phone (862) 266-5758.

Contact Information

Primary practice address
200 Middlesex Tpke Ste 102 Iselin NJ 08830-2033
Phone: (862) 266-5758
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 37LC0224600 New Jersey
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 37PC00743100 New Jersey

Profile Details

NPI number 1164952867
LBN Legal business name Richmond, Kellyanne
Credentials MA, LPC, LCADC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2017
Last updated Jan 4th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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