Individual provider · Type 1 NPI

Mary Lee Kelley, LCDC

Addiction (Substance Use Disorder) Counselor · Dallas, TX

NPI number 1821753591 Active

Practice location

4645 Samuell Blvd
Dallas, TX 75228-6826

Mailing address

6619 Whitneyglen Dr
Dallas, TX 75241-3785

Other practice locations

  • 6619 Whitneyglen Dr, Dallas, TX 75241-3785 · (214) 414-6797

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X15183 (TX)

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

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About NPI 1821753591

Mary Lee Kelley, LCDC's National Provider Identifier is 1821753591, issued on Nov 7, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Dallas, TX. The record was last updated on May 20, 2022.