Individual provider · Type 1 NPI

Kelly Paul Minor

Addiction (Substance Use Disorder) Counselor · San Diego, CA

NPI number 1487788402 Active

Practice location

6244 El Cajon Blvd Ste 15
San Diego, CA 92115-3918

Fax (619) 287-4146

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1487788402

Kelly Paul Minor's National Provider Identifier is 1487788402, issued on Mar 14, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Diego, CA. The record was last updated on Aug 29, 2011.