Individual provider · Type 1 NPI

Colleen M. Kelly, C.A.C.

Addiction (Substance Use Disorder) Counselor · Oxnard, CA

NPI number 1750408787 Active

Practice location

1911 Williams Dr, Suite 140
Oxnard, CA 93036-2612

Call (805) 981-9250 Map

Fax (805) 981-9251

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XRI-K0509201000 (CA)

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

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About NPI 1750408787

Colleen M. Kelly, C.A.C.'s National Provider Identifier is 1750408787, issued on Mar 23, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Oxnard, CA. The record was last updated on Jul 8, 2007.