Individual provider · Type 1 NPI

Emily Kelly

Student in an Organized Health Care Education/Training Program · San Jose, CA

NPI number 1679039945 Active

Practice location

1900 The Alameda Ste 610
San Jose, CA 95126-1437

Call (408) 475-1665 Map

Other practice locations

  • 44 Gough St Ste 210, San Francisco, CA 94103-5424 · (415) 829-7323
  • 335 Quarry Rd, San Carlos, CA 94070-6217 · (650) 591-3636

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Behavior Technician 106S00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1679039945

Emily Kelly's National Provider Identifier is 1679039945, issued on Feb 12, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Jose, CA. The record was last updated on Sep 11, 2023.