Justine Kelley, LGPC
Individual provider Active NPI Professional Counselor · Forestville, MD
NPI 1043851074 · NPPES record last updated Oct 1, 2019
Key facts
- NPI
- 1043851074
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- Practice address
- 3900 Forestville Rd
Forestville, MD 20747-4715 - Phone
- (240) 296-6072
- NPI assigned
- Oct 1, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Yes |
Addresses
Primary practice location
3900 Forestville Rd
Forestville, MD 20747-4715
Mailing address
3900 Forestville Rd
Forestville, MD 20747-4715
Phone (240) 296-6072
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- Rebecca Kellner
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All providers in Forestville, MD · Professional Counselor in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.