Individual provider · Type 1 NPI

Kelly Jolly, BS, MA, QP

Addiction (Substance Use Disorder) Counselor · Durham, NC

NPI number 1710890207 Active

Practice location

2216 S Miami Blvd
Durham, NC 27703-6281

Call (919) 797-0549 Map

Mailing address

5404 Creek Ridge Ln Apt E
Raleigh, NC 27607-3847

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1710890207

Kelly Jolly, BS, MA, QP's National Provider Identifier is 1710890207, issued on Sep 24, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Durham, NC. The record was last updated on Sep 24, 2026.