Individual provider · Type 1 NPI
Kelly Connolly
Addiction (Substance Use Disorder) Counselor · Harwich Port, MA
NPI number
1508575473
Active
Practice location
710 Route 28
Harwich Port, MA 02646-1931
Mailing address
939 Stony Brook Rd
Brewster, MA 02631-2450
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1508575473
Kelly Connolly's National Provider Identifier is 1508575473, issued on Nov 21, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Harwich Port, MA. The record was last updated on Nov 21, 2022.