Individual provider · Type 1 NPI
Demetri Rashad Kelley
Counselor · Rancho Cucamonga, CA
NPI number
1659009389
Active
Practice location
11519 Carlisle Pl
Rancho Cucamonga, CA 91730-7233
Mailing address
16258 Ladybird Way
Fontana, CA 92336-5828
Other practice locations
- 7839 Patriot Pl, Rancho Cucamonga, CA 91730-2640 · (909) 948-2898
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
2 other providers at this address
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About NPI 1659009389
Demetri Rashad Kelley's National Provider Identifier is 1659009389, issued on Aug 10, 2022. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Rancho Cucamonga, CA. The record was last updated on Aug 10, 2022.