Ms. Susan Kelly, LADC, CAC
Counselor, Addiction (Substance Use Disorder) in Hamden, Connecticut
1043484702- Practice location
- 1890 Dixwell Ave, Hamden, CT 06514-3122
- Phone
- 860-223-9291
- Fax
- 860-223-3111
- Last updated
- April 14, 2008
Susan Kelly is a Counselor, Addiction (Substance Use Disorder) based in Hamden, CT. 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 (CT). The current practice location address for Susan Kelly is 1890 Dixwell Ave, Hamden, CT 06514-3122 and can be reached out via phone at 860-223-9291 and via fax at 860-223-3111.
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
- Primary Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 14, 2008
- Last Update Date
- April 14, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1890 Dixwell Ave
Hamden, CT 06514-3122 - City
- Hamden
- State
- Connecticut
- Zip
- 06514-3122
- Phone Number
- 860-223-9291
- Fax Number
- 860-223-3111
Provider Business Mailing Address Details
- Address
- 1890 Dixwell Ave
Hamden, CT 06514-3122 - City
- Hamden
- State
- CT
- Zip
- 06514-3122
- Phone Number
- 860-223-9291
- Fax Number
- 860-223-3111
License Information
- License Number
- 000634
- License State
- CT
- Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Addiction (Substance Use Disorder) providers near Hamden, CT
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Frequently Asked Questions
What is the NPI number of Ms. Susan Kelly, LADC, CAC?
The NPI number of Ms. Susan Kelly, LADC, CAC is 1043484702. It was assigned on April 14, 2008 and is currently active in the NPPES registry.
What is the specialty of Ms. Susan Kelly, LADC, CAC?
Ms. Susan Kelly, LADC, CAC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in CT under license number 000634.
Where does Ms. Susan Kelly, LADC, CAC practice?
The practice location is 1890 Dixwell Ave, Hamden, CT 06514-3122. The office can be reached at 860-223-9291 (phone) or 860-223-3111 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043484702 directly on the NPPES registry website.