Individual provider · Type 1 NPI

Sandra Diane Kellar, RADT

Addiction (Substance Use Disorder) Counselor · Venice, CA

NPI number 1093360331 Active

Practice location

717 Lincoln Blvd
Venice, CA 90291-2845

Call (310) 399-9883 Map

Fax (310) 399-9678

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR8617 (CA)

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

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About NPI 1093360331

Sandra Diane Kellar, RADT's National Provider Identifier is 1093360331, issued on Aug 5, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Venice, CA. The record was last updated on Aug 5, 2019.