Individual provider · Type 1 NPI

Michael Kelly

Addiction (Substance Use Disorder) Counselor · Atascadero, CA

NPI number 1962874008 Active

Practice location

6500 Morro Rd, Suite D
Atascadero, CA 93422-4142

Call (805) 461-5212 Map

Fax (805) 461-5873

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 1962874008

Michael Kelly's National Provider Identifier is 1962874008, issued on Oct 28, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Atascadero, CA. The record was last updated on Oct 28, 2015.