| Mrs Kelly Medvin, LPC, NCC | |
|
268 Green Village Rd, Green Village, NJ 07935-3027 | |
| (917) 922-1693 | |
| Not Available |
| Full Name | Mrs Kelly Medvin |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 268 Green Village Rd, Green Village, New Jersey |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598270571 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 37PC00585800 (New Jersey) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kelly Medvin, LPC, NCC 425 Fairmount Ave, Chatham, NJ 07928-1369 Ph: (973) 655-0220 | Mrs Kelly Medvin, LPC, NCC 268 Green Village Rd, Green Village, NJ 07935-3027 Ph: (917) 922-1693 |
Phillip Caruso, LPC Counselor Medicare: Medicare Enrolled Practice Location: 268 Green Village Rd, Green Village, NJ 07935 Phone: 201-274-5594 | |
Ms. Ellen M Purtell, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 268 Green Village Rd Ste 21, Green Village, NJ 07935 Phone: 973-615-7037 | |
Ashley Janosko, Counselor Medicare: Not Enrolled in Medicare Practice Location: 268 Green Village Rd, Green Village, NJ 07935 Phone: 570-872-7693 |