Individual provider · Type 1 NPI
Erica Lasha Kelly
Addiction (Substance Use Disorder) Counselor · Grand Prairie, TX
NPI number
1255156196
Active
Practice location
444 Gotland Dr
Grand Prairie, TX 75052-2569
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 1255156196
Erica Lasha Kelly's National Provider Identifier is 1255156196, issued on Nov 16, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Grand Prairie, TX. The record was last updated on Nov 16, 2024.