Provider Demographics
NPI:1003421124
Name:KARVER, KELLI AIDA (LPC, ATR-BC)
Entity Type:Individual
Prefix:
First Name:KELLI
Middle Name:AIDA
Last Name:KARVER
Suffix:
Gender:F
Credentials:LPC, ATR-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:329 E JIMMIE LEEDS RD STE 206
Mailing Address - Street 2:
Mailing Address - City:GALLOWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08205-4110
Mailing Address - Country:US
Mailing Address - Phone:609-513-2972
Mailing Address - Fax:
Practice Address - Street 1:329 E JIMMIE LEEDS RD STE 206
Practice Address - Street 2:
Practice Address - City:GALLOWAY
Practice Address - State:NJ
Practice Address - Zip Code:08205-4110
Practice Address - Country:US
Practice Address - Phone:609-513-2972
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-15
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00435500101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor