MS. Kelly Marie Gaughan, BS
NPI #1265496632 in Tunkhannock, Pennsylvania
Provider Information
- NPI Number
- 1265496632
- Entity Type
- Individual
- Name
- MS. Kelly Marie Gaughan, BS
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- BS
- Enumeration Date
- Apr 13, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 102 WARREN ST
- City
- Tunkhannock
- State
- Pennsylvania
- ZIP Code
- 18657
- Phone
- (570) 836-1101
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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