Individual provider · Type 1 NPI

Charles J. Kelly

Addiction (Substance Use Disorder) Counselor · Garrison, NY

NPI number 1508013103 Active

Practice location

21 Franciscan Way
Garrison, NY 10524-0150

Mailing address

PO Box 150
Garrison, NY 10524-0150

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X20821 (NY)

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

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About NPI 1508013103

Charles J. Kelly's National Provider Identifier is 1508013103, issued on Aug 26, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Garrison, NY. The record was last updated on Aug 26, 2008.