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General NPI Number Information
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NPI Number | 1427513555
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Entity Type | Individual
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Provider Name | RIANA CARYN KELLY LPC
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Gender | Female
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Dates
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Enumeration Date | 02/03/2019
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Last Update Date | 01/25/2024
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Provider Practice Location Address
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Address Line | 1000 WHITE HORSE RD STE 804
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City | VOORHEES
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State | NJ
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Zip | 08043-4414
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Country | US
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Telephone | 856-866-6331
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Fax |
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Provider Business Mailing Address
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Address Line | 171 COUNTRY FARMS RD
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City | MARLTON
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State | NJ
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Zip | 08053-1457
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Country | US
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Telephone | 856-357-0655
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 37PC00920300
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 37AC00451600
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License Number State | NJ
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