Individual provider · Type 1 NPI
Carolyn Darlene Kelley, CRADC
Addiction (Substance Use Disorder) Counselor · Cape Girardeau, MO
NPI number
1831653252
Active
Practice location
760 S Kingshighway St
Cape Girardeau, MO 63703-7630
Fax (573) 335-4345
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 2708 (MO) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
3 other providers at this address
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- Carrie Ann KennedyAddiction (Substance Use Disorder) Counselor Cape Girardeau, MO NPI 1528633484
About NPI 1831653252
Carolyn Darlene Kelley, CRADC's National Provider Identifier is 1831653252, issued on Jan 30, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cape Girardeau, MO. The record was last updated on Jan 30, 2019.