Venezia Crilly, Kelly E.

Venezia Crilly, Kelly E. is an sole proprietor health care provider with primary practice located at 860 Wyckoff Ave Ste 206&305 , Mahwah NJ 07430-3186. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Venezia Crilly, Kelly E. can be contacted via phone (551) 319-2029.

Contact Information

Primary practice address
860 Wyckoff Ave Ste 206&305 Mahwah NJ 07430-3186
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X 1086514 New Jersey
Behavioral Health & Social Service Providers / Counselor 101Y00000X 37AC00614600 New Jersey

Profile Details

NPI number 1306506472
LBN Legal business name Venezia Crilly, Kelly E.
Credentials LAC, NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 30th, 2021
Last updated Dec 30th, 2021 - about 5 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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