Individual provider · Type 1 NPI

Whitney Marie Kelly, SUDRC 12452

Addiction (Substance Use Disorder) Counselor · Santa Maria, CA

NPI number 1376203356 Active

Practice location

412B E Tunnell St
Santa Maria, CA 93454-4146

Call (805) 925-0315 Map

Mailing address

731 S Lincoln St
Santa Maria, CA 93458-6107

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X12452 (CA)

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

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About NPI 1376203356

Whitney Marie Kelly, SUDRC 12452's National Provider Identifier is 1376203356, issued on Dec 18, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Maria, CA. The record was last updated on Dec 18, 2021.