Shavon J Kelley

NPI #1053089003 in Euclid, Ohio

Provider Information

NPI Number: 1053089003
Entity Type: Individual
Name: Shavon J Kelley
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Case Management
Enumeration Date: Sep 3, 2021
Last Updated: Sep 3, 2021

Practice Location

Address: 927 E 218TH ST
City: Euclid
State: Ohio
ZIP Code: 44119-2423
Phone: (216) 345-9056

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X
Case Management	251B00000X	Primary
Counselor	101Y00000X
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Mental Health — Mental Health	101YM0800X
Case Manager/Care Coordinator	171M00000X
Contractor	171W00000X

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