Provider Demographics
NPI:1417557117
Name:CALI, KELLI (MS, LPC, NCC, CRC)
Entity type:Individual
Prefix:
First Name:KELLI
Middle Name:
Last Name:CALI
Suffix:
Gender:
Credentials:MS, LPC, NCC, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:524 DUDLEY ST
Mailing Address - Street 2:
Mailing Address - City:DUNMORE
Mailing Address - State:PA
Mailing Address - Zip Code:18512-2720
Mailing Address - Country:US
Mailing Address - Phone:579-878-5720
Mailing Address - Fax:
Practice Address - Street 1:411 DAVIS ST
Practice Address - Street 2:
Practice Address - City:CLARKS SUMMIT
Practice Address - State:PA
Practice Address - Zip Code:18411-1837
Practice Address - Country:US
Practice Address - Phone:570-575-3793
Practice Address - Fax:570-587-1747
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-30
Last Update Date:2025-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC012776101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty