Michael Kelly
NPI #1962874008 in Atascadero, California
Provider Information
- NPI Number
- 1962874008
- Entity Type
- Individual
- Name
- Michael Kelly
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Oct 28, 2015
- Last Updated
- Oct 28, 2015
Practice Location
- Address
- 6500 MORRO RD
- Address 2
- SUITE D
- City
- Atascadero
- State
- California
- ZIP Code
- 93422-4142
- Phone
- (805) 461-5212
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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