Provider Demographics
NPI:1598991119
Name:MORELLI, KATHY ANNE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:KATHY
Middle Name:ANNE
Last Name:MORELLI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:721 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:KINNELON
Mailing Address - State:NJ
Mailing Address - Zip Code:07405-2130
Mailing Address - Country:US
Mailing Address - Phone:973-492-1257
Mailing Address - Fax:
Practice Address - Street 1:1581 ROUTE 23
Practice Address - Street 2:(ROUTE 23 SOUTH) SECOND FLOOR - SUITE 1
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-7508
Practice Address - Country:US
Practice Address - Phone:973-713-6412
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-10
Last Update Date:2009-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00387100101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional