Individual provider · Type 1 NPI
Kelly McEvilly
Addiction (Substance Use Disorder) Counselor · Medford, OR
NPI number
1801411889
Active
Practice location
777 Murphy Rd
Medford, OR 97504-8425
Fax (541) 734-3164
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1801411889
Kelly McEvilly's National Provider Identifier is 1801411889, issued on Jun 15, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Medford, OR. The record was last updated on Jun 15, 2020.