MS. Deidra Kelly, CAC

NPI #1770151136 in Brooklyn, Maryland

Provider Information

NPI Number
1770151136
Entity Type
Individual
Name
MS. Deidra Kelly, CAC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
CAC
Enumeration Date
Jun 14, 2021
Last Updated
Jun 14, 2021

Practice Location

Address
112 E PATAPSCO AVE
ZIP Code
21225-1745
Phone
(667) 260-2595

Specialties & Taxonomy Codes

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

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