Kelley Story, LADC, CCS

NPI #1194862821 in Lebanon, Oregon

Provider Information

NPI Number
1194862821
Entity Type
Individual
Name
Kelley Story, LADC, CCS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
LADC, CCS
Enumeration Date
Jan 31, 2007
Last Updated
Sep 13, 2018

Practice Location

Address
100 MULLINS DR STE C2
State
Oregon
ZIP Code
97355-2868
Phone
(541) 451-6388

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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