Individual provider · Type 1 NPI

Andy Burl Kellems Ii, CADC

Addiction (Substance Use Disorder) Counselor · Costa Mesa, CA

NPI number 1639556673 Active

Practice location

3151 Airway Ave Ste F107
Costa Mesa, CA 92626-4623

Call (714) 964-6730 Map

Fax (714) 964-4382

Mailing address

21062 Brookhurst St Ste 201
Huntington Beach, CA 92646-7404

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X081486 (CA)

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

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About NPI 1639556673

Andy Burl Kellems Ii, CADC's National Provider Identifier is 1639556673, issued on Apr 29, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Costa Mesa, CA. The record was last updated on Apr 29, 2015.