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
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 15183 (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.