Individual provider · Type 1 NPI

Kathleen Kelly

Addiction (Substance Use Disorder) Counselor · San Marcos, CA

NPI number 1912875113 Active

Practice location

751 Rancheros Dr
San Marcos, CA 92069-3041

Call (760) 761-0515 Map

Mailing address

987 Postal Way Apt 33
Vista, CA 92083-6906

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1912875113

Kathleen Kelly's National Provider Identifier is 1912875113, issued on Oct 28, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Marcos, CA. The record was last updated on Oct 28, 2025.