Individual provider · Type 1 NPI

Sean Kelly, CADC I, CRM

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1821456559 Active

Practice location

10564 SE Washington Street
Portland, OR 97216

Call (971) 806-0571 Map

Mailing address

2318 NE Martin Luther King Jr Blvd
Portland, OR 97212-3715

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000X16-CRM-008 (OR)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X20-07-07 (OR)

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

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About NPI 1821456559

Sean Kelly, CADC I, CRM's National Provider Identifier is 1821456559, issued on Feb 9, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portland, OR. The record was last updated on Aug 11, 2020.