Individual provider · Type 1 NPI

Kayla Kelly

Addiction (Substance Use Disorder) Counselor · Syracuse, NY

NPI number 1679004857 Active

Practice location

319 E Water St
Syracuse, NY 13202-1123

Fax (315) 475-4601

Mailing address

319 East Water Street
Syracuse, NY 13202

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X32336 (NY)

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

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About NPI 1679004857

Kayla Kelly's National Provider Identifier is 1679004857, issued on Mar 21, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Syracuse, NY. The record was last updated on Mar 21, 2017.