Provider Demographics
NPI:1750566196
Name:KELLNER, BARBARA A (LPC)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:A
Last Name:KELLNER
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 1:31 FAIRMOUNT AVE
Mailing Address - Street 2:SUITE #207
Mailing Address - City:CHESTER
Mailing Address - State:NJ
Mailing Address - Zip Code:07930-2668
Mailing Address - Country:US
Mailing Address - Phone:908-879-4997
Mailing Address - Fax:908-879-8252
Practice Address - Street 1:31 FAIRMOUNT AVE
Practice Address - Street 2:SUITE #207
Practice Address - City:CHESTER
Practice Address - State:NJ
Practice Address - Zip Code:07930-2668
Practice Address - Country:US
Practice Address - Phone:908-879-4997
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-03
Last Update Date:2008-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00283200101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional