Individual provider · Type 1 NPI

Elizabeth Jane Kelly, SUDCC

Addiction (Substance Use Disorder) Counselor · Cardiff, CA

NPI number 1487550265 Active

Practice location

120 Birmingham Dr Ste 240A
Cardiff, CA 92007-1757

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X18957 (CA)

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

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About NPI 1487550265

Elizabeth Jane Kelly, SUDCC's National Provider Identifier is 1487550265, issued on Oct 17, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cardiff, CA. The record was last updated on Oct 17, 2026.