Individual provider · Type 1 NPI
Kelly Kennedy
Addiction (Substance Use Disorder) Counselor · Santa Paula, CA
NPI number
1003474784
Active
Practice location
720 W Santa Maria St Spc 77
Santa Paula, CA 93060-4577
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1003474784
Kelly Kennedy's National Provider Identifier is 1003474784, issued on May 29, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Paula, CA. The record was last updated on Sep 25, 2025.