Individual provider · Type 1 NPI

Suzanne Kelley, LCDC

Addiction (Substance Use Disorder) Counselor · Longview, TX

NPI number 1508135138 Active

Practice location

950 N 4th St
Longview, TX 75601-5436

Call (903) 758-0596 Map

Mailing address

PO Box 6800
Longview, TX 75608-6800

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X8996 (TX)

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

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About NPI 1508135138

Suzanne Kelley, LCDC's National Provider Identifier is 1508135138, issued on Dec 28, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Longview, TX. The record was last updated on Dec 28, 2011.