Kelly Jennilee Carpenter, CASAC-T

NPI #1861248494 in Sanborn, New York

Provider Information

NPI Number
1861248494
Entity Type
Individual
Name
Kelly Jennilee Carpenter, CASAC-T
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
CASAC-T
Enumeration Date
Apr 25, 2024
Last Updated
Apr 25, 2024

Practice Location

Address
6298 INDUCON DR E # SANBORNN
ZIP Code
14132-9013
Phone
(716) 219-8700

Specialties & Taxonomy Codes

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

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