Individual provider · Type 1 NPI
Kelly Marie Koelsch, RADT1
Addiction (Substance Use Disorder) Counselor · Placerville, CA
NPI number
1417611666
Active
Practice location
2844 Coloma St
Placerville, CA 95667-4406
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | R1447681021 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1417611666
Kelly Marie Koelsch, RADT1's National Provider Identifier is 1417611666, issued on Oct 25, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Placerville, CA. The record was last updated on Jun 15, 2022.