Kelly Anne Mach, M.A.
Counselor, Mental Health in Brooklyn, NY. Individual provider (NPI-1).
NPI number1295034643
StatusActive
Last updated in NPPESDec 15, 2022
Details
- NPI
- 1295034643
- Entity type
- Individual (NPI-1)
- Name
- Ms. Kelly Anne Mach
- Credential
- M.A.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 24, 2011
- Certification date
- Dec 15, 2022
- Last updated
- Dec 15, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | C4966 | OR | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Other names
- Kelly Anne Brogan (Former Name)
Practice location
497 6th AveBrooklyn, NY 11215-4074
Phone 718-577-2347
Mailing address
27 Windsor PlBrooklyn, NY 11215-5610
Phone 718-514-1590
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