Individual provider · Type 1 NPI

Crissy Chanell Kelly

Addiction (Substance Use Disorder) Counselor · Modesto, CA

NPI number 1780359703 Active

Practice location

2000 W Briggsmore Ave Ste I
Modesto, CA 95350-3839

Call (209) 526-1476 Map

Fax (209) 526-1476

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 1780359703

Crissy Chanell Kelly's National Provider Identifier is 1780359703, issued on Aug 11, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Modesto, CA. The record was last updated on Aug 11, 2021.