Individual provider · Type 1 NPI

Kelly Ann Buckley

Addiction (Substance Use Disorder) Counselor · Waverly, OH

NPI number 1770094286 Active

Practice location

14572 US Highway 23
Waverly, OH 45690-9373

Fax (740) 835-8430

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 1770094286

Kelly Ann Buckley's National Provider Identifier is 1770094286, issued on Oct 24, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Waverly, OH. The record was last updated on Oct 24, 2017.