Individual provider · Type 1 NPI
Kelley Beth McNichols, MSED, LPC, CAC, CCDP
Addiction (Substance Use Disorder) Counselor · Pittsburgh, PA
NPI number
1912123449
Active
Practice location
355 5th Ave, Park Building, Suite 410
Pittsburgh, PA 15222-2409
Fax (412) 244-4550
Mailing address
164 Michigan Ave
Lower Burrell, PA 15068-2932
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | PC004214 (PA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1912123449
Kelley Beth McNichols, MSED, LPC, CAC, CCDP's National Provider Identifier is 1912123449, issued on Apr 17, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pittsburgh, PA. The record was last updated on Jul 8, 2007.