Individual provider · Type 1 NPI
Kenya Kelly, BS
Addiction (Substance Use Disorder) Counselor · Champaign, IL
NPI number
1013899574
Active
Practice location
106 S Country Fair Dr
Champaign, IL 61821-3063
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1013899574
Kenya Kelly, BS's National Provider Identifier is 1013899574, issued on Jul 24, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Champaign, IL. The record was last updated on Jul 24, 2025.