Individual provider · Type 1 NPI

Kelly Danielle Friday, CATC; 112519

Addiction (Substance Use Disorder) Counselor · San Pedro, CA

NPI number 1790136364 Active

Practice location

235 W 9th St
San Pedro, CA 90731-3711

Call (310) 521-9209 Map

Fax (310) 521-9241

Mailing address

1729 S Meyler St, Apt 1
San Pedro, CA 90731-4649

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCATC 112519 (CA)

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

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About NPI 1790136364

Kelly Danielle Friday, CATC; 112519's National Provider Identifier is 1790136364, issued on Jun 24, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Pedro, CA. The record was last updated on Jun 24, 2016.