Individual provider · Type 1 NPI

Kelly A. Medeiros

Addiction (Substance Use Disorder) Counselor · New Bedford, MA

NPI number 1821319096 Active

Practice location

10 Kilburn St
New Bedford, MA 02740-7321

Mailing address

125 N Elm St
Westfield, MA 01085-1643

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 1821319096

Kelly A. Medeiros's National Provider Identifier is 1821319096, issued on Jun 22, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in New Bedford, MA. The record was last updated on Jun 22, 2010.