Individual provider · Type 1 NPI

Mary Rose Kelly

Addiction (Substance Use Disorder) Counselor · Sault Sainte Marie, MI

NPI number 1629933551 Active

Practice location

2655 Ashmun St
Sault Sainte Marie, MI 49783-3711

Call (906) 632-2522 Map

Mailing address

100 Malton Rd
Negaunee, MI 49866-2001

Other practice locations

  • 2655 Ashmun St, Sault Sainte Marie, MI 49783-3711 · (906) 632-9809
  • 1416 W Easterday Ave, Sault Sainte Marie, MI 49783-1415 · (906) 635-5542

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 1629933551

Mary Rose Kelly's National Provider Identifier is 1629933551, issued on Dec 23, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sault Sainte Marie, MI. The record was last updated on Dec 23, 2025.