Kelly A Sallie, LCADC, CPRS, CCTP is a
Counselor - Addiction (substance Use Disorder) based in Mount Tabor, New Jersey. Kelly A Sallie is licensed to practice in New Jersey (license number 37LC00331800) and her current practice location is
14 Hilsinger Rd # 240, Mount Tabor, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(973) 404-0214.
NPI number for Kelly A Sallie is 1386319960 and her current mailing address is Po Box 240, Mount Tabor, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386319960.
Healthcare Provider's Profile
| Full Name | Kelly A Sallie |
|---|
| Gender | Female |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 14 Hilsinger Rd # 240, Mount Tabor, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1386319960
- Provider Enumeration Date: 08/15/2021
- Last Update Date: 08/15/2021
Medical Identifiers
Medical identifiers for Kelly A Sallie such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386319960 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 37LC00331800 (New Jersey) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00331800 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly A Sallie is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kelly A Sallie, LCADC, CPRS, CCTP
Po Box 240,
Mount Tabor, NJ 07878-0240
Ph: (973) 404-0214 | Kelly A Sallie, LCADC, CPRS, CCTP
14 Hilsinger Rd # 240,
Mount Tabor, NJ 07878-9226
Ph: (973) 404-0214 |
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