Individual provider · Type 1 NPI
Kelly Marie Gaughan, BS
Addiction (Substance Use Disorder) Counselor · Tunkhannock, PA
NPI number
1265496632
Active
Practice location
102 Warren St
Tunkhannock, PA 18657
Fax (570) 836-3765
Mailing address
33 East Northampton Street
Wilkes Barre, PA 18701-2492
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 1265496632
Kelly Marie Gaughan, BS's National Provider Identifier is 1265496632, issued on Apr 13, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tunkhannock, PA. The record was last updated on Jul 13, 2026.