Individual provider · Type 1 NPI
Susan Kelly, LADC, CAC
Addiction (Substance Use Disorder) Counselor · Hamden, CT
NPI number
1043484702
Active
Practice location
1890 Dixwell Ave
Hamden, CT 06514-3122
Fax (860) 223-3111
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 000634 (CT) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
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About NPI 1043484702
Susan Kelly, LADC, CAC's National Provider Identifier is 1043484702, issued on Apr 14, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Hamden, CT. The record was last updated on Apr 14, 2008.