Individual provider · Type 1 NPI

Patrick Kevin Kelly, SUDCC2

Addiction (Substance Use Disorder) Counselor · Anaheim, CA

NPI number 1013783059 Active

Practice location

1320 W Pearl St
Anaheim, CA 92801-5941

Call (866) 811-3656 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1013783059

Patrick Kevin Kelly, SUDCC2's National Provider Identifier is 1013783059, issued on Nov 30, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Anaheim, CA. The record was last updated on Sep 22, 2026.