Individual provider · Type 1 NPI

John Kelly Badgett

Addiction (Substance Use Disorder) Counselor · Fairfield, CA

NPI number 1043807654 Active

Practice location

1525 Union Ave
Fairfield, CA 94533-5049

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X178015 (CA)

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

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About NPI 1043807654

John Kelly Badgett's National Provider Identifier is 1043807654, issued on Dec 29, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fairfield, CA. The record was last updated on Dec 29, 2020.