Individual provider · Type 1 NPI

Misty R. Kelly, SUDCC

Addiction (Substance Use Disorder) Counselor · Woodland, CA

NPI number 1700582525 Active

Practice location

215 W Beamer St
Woodland, CA 95695-2510

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X11402 (CA)

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

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About NPI 1700582525

Misty R. Kelly, SUDCC's National Provider Identifier is 1700582525, issued on Feb 2, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Woodland, CA. The record was last updated on Nov 13, 2024.