Individual provider · Type 1 NPI
Kelly Jennilee Carpenter, CASAC-T
Addiction (Substance Use Disorder) Counselor · Sanborn, NY
NPI number
1861248494
Active
Practice location
6298 Inducon Dr E # Sanbornn
Sanborn, NY 14132-9013
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1861248494
Kelly Jennilee Carpenter, CASAC-T's National Provider Identifier is 1861248494, issued on Apr 25, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sanborn, NY. The record was last updated on Apr 25, 2024.