Individual provider · Type 1 NPI
Jazaiha Lanae Kelley
Addiction (Substance Use Disorder) Counselor · Modesto, CA
NPI number
1174202386
Active
Practice location
2700 Brenner Way
Modesto, CA 95350-1704
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1174202386
Jazaiha Lanae Kelley's National Provider Identifier is 1174202386, issued on Jul 14, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Modesto, CA. The record was last updated on Jul 14, 2023.