Jacob Kelley
NPI #1174073621 in Ramona, California
Provider Information
- NPI Number
- 1174073621
- Entity Type
- Individual
- Name
- Jacob Kelley
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Oct 8, 2016
- Last Updated
- Oct 8, 2016
Practice Location
- Address
- 323 HUNTER ST
- City
- Ramona
- State
- California
- ZIP Code
- 92065-3005
- Phone
- (760) 788-6520
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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