Individual provider · Type 1 NPI

Tasha Jeanmarie Kelly, LAC

Addiction (Substance Use Disorder) Counselor · Arnegard, ND

NPI number 1972309086 Active

Practice location

2126 Vista Ave
Arnegard, ND 58835

Mailing address

4801 11th Ave W Apt 410
Williston, ND 58801-5392

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 1972309086

Tasha Jeanmarie Kelly, LAC's National Provider Identifier is 1972309086, issued on Feb 20, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Arnegard, ND. The record was last updated on Feb 20, 2025.