Individual provider · Type 1 NPI

Cody J. Kelly, AAC

Counselor · Idaho Falls, ID

NPI number 1225774243 Active

Practice location

1820 E 17th St Ste 330
Idaho Falls, ID 83404-6400

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1225774243

Cody J. Kelly, AAC's National Provider Identifier is 1225774243, issued on May 11, 2022. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Idaho Falls, ID. The record was last updated on Jun 4, 2025.