Kelly Ann Waller, LMHC is a mental health counselor in Massapequa, NY. Kelly Ann Waller, LMHC NPI is 1972269652. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
54 CHICAGO AVE
MASSAPEQUA, NY
ZIP 11758-422
Phone: (516) 804-0448
The enumeration date for this NPI number is 11/16/2021 and was last updated on 11/16/2021.