Individual provider · Type 1 NPI
Yezlin Denae Kelly, SAC-IT
Addiction (Substance Use Disorder) Counselor · Milwaukee, WI
NPI number
1831497114
Active
Practice location
230 W Wells St Ste 312
Milwaukee, WI 53203-1837
Mailing address
3530 N 11th St
Milwaukee, WI 53206-3031
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 15839-130 (WI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1831497114
Yezlin Denae Kelly, SAC-IT's National Provider Identifier is 1831497114, issued on Mar 10, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Milwaukee, WI. The record was last updated on Mar 10, 2011.