Patrick C Kelley, LCDCIII, QMHS

NPI #1659868941 in Coal Grove, Ohio

Provider Information

NPI Number: 1659868941
Entity Type: Individual
Name: Patrick C Kelley, LCDCIII, QMHS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: LCDCIII, QMHS
Enumeration Date: Apr 23, 2018
Last Updated: Sep 5, 2023

Practice Location

Address: 225 CARLTON DAVIDSON LN
City: Coal Grove
State: Ohio
ZIP Code: 45638-2924
Phone: (740) 533-0648

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor	101Y00000X	Primary

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