Most Relevant Information
Provider Data
| NPI Number: | 1003646340 |
| Provider Name: | SEAN STEPHEN KELLY LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 37PC01041900 |
Most Important Dates
| Enumeration Date: | 08/02/2024 |
| Last Updated: | 09/10/2024 |
Provider Practice Location
651 NJ-73
SUITE 303
MARLTON
NJ
08053
Practice Location Phone/Fax
| Phone: | 8563960111 |
| Fax: |
Provider Mailing Location
1711 ERLEN RD
ELKINS PARK
PA
190271062
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |