Individual provider · Type 1 NPI
Kellyann Moylan
Addiction (Substance Use Disorder) Counselor · Sacramento, CA
NPI number
1962612457
Active
Practice location
1120 56th St
Sacramento, CA 95819-3918
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1962612457
Kellyann Moylan's National Provider Identifier is 1962612457, issued on May 23, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sacramento, CA. The record was last updated on Jul 8, 2007.