Individual provider · Type 1 NPI

John Kelly

Addiction (Substance Use Disorder) Counselor · Lake Worth, FL

NPI number 1508135252 Active

Practice location

4550 Lantana Road, Suite A4
Lake Worth, FL 33463

Call (561) 340-7259 Map

Mailing address

9170 SW 14th St Apt 4107
Boca Raton, FL 33428-6829

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X3217 (FL)

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

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About NPI 1508135252

John Kelly's National Provider Identifier is 1508135252, issued on Dec 27, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lake Worth, FL. The record was last updated on Dec 27, 2011.