person
Ms. Susan Kelly, LADC,CAC
Addiction (Substance Use Disorder) Counselor in Hamden, Connecticut
NPI 1043484702

Susan Kelly is an Addiction (Substance Use Disorder) Counselor based in Hamden, CT and is specialized in Addiction (Substance Use Disorder). Susan Kelly practices in Hamden, CT and has the professional credentials of LADC,CAC. The NPI Number for Susan Kelly is 1043484702 and holds a License No. 000634 (Connecticut).

The current practice location address for Susan Kelly is 1890 Dixwell Ave, Hamden, CT and can be reached out via phone at 860-223-9291 and via fax at 860-223-3111.

Location: 1890 Dixwell Ave, Hamden, CT, 06514-3122
person
Provider Profile Details
NPI Number
1043484702
Provider Name
Susan Kelly
Credential
LADC,CAC
Provider Entity Type
Individual
Gender
Female
Address
1890 Dixwell Ave, Hamden, CT, 06514-3122
Phone Number
860-223-9291
Fax Number
860-223-3111
Provider Enumeration Date
04/14/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3734 01 CT CAC
000634 01 CT LADC
institution
Provider Business Practice Location Address Details
Address
1890 Dixwell Ave
City
State
Zip
06514-3122
Phone Number
860-223-9291
Fax Number
860-223-3111
person
Provider Business Mailing Address Details
Address
1890 Dixwell Ave
City
State
Zip
06514-3122
Phone Number
860-223-9291
Fax Number
860-223-3111
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
000634 (Connecticut)
Definition
Definition to come...
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