person
Laura Kelly, RAS
Addiction (Substance Use Disorder) Counselor in Fairfield, California
NPI 1548430259

Laura Kelly is an Addiction (Substance Use Disorder) Counselor based in Fairfield, CA and is specialized in Addiction (Substance Use Disorder). Laura Kelly practices in Fairfield, CA and has the professional credentials of RAS. The NPI Number for Laura Kelly is 1548430259 and holds a License No. RAS K0411150752 (California).

The current practice location address for Laura Kelly is 1735 Enterprise Dr Bldg 1, Fairfield, CA and can be reached out via phone at 707-425-1799 and via fax at 707-425-1081.

Location: 1735 Enterprise Dr Bldg 1, Fairfield, CA, 94533-6822
person
Provider Profile Details
NPI Number
1548430259
Provider Name
Laura Kelly
Credential
RAS
Provider Entity Type
Individual
Gender
Female
Address
1735 Enterprise Dr Bldg 1, Fairfield, CA, 94533-6822
Phone Number
707-425-1799
Fax Number
707-425-1081
Provider Enumeration Date
03/10/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1093925018 01 CA DRUG MEDICAL
institution
Provider Business Practice Location Address Details
Address
1735 Enterprise Dr Bldg 1
City
State
Zip
94533-6822
Phone Number
707-425-1799
Fax Number
707-425-1081
person
Provider Business Mailing Address Details
Address
1735 Enterprise Dr Bldg 1
City
State
Zip
94533-6822
Phone Number
707-425-1799
Fax Number
707-425-1081
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
RAS K0411150752 (California)
Definition
Definition to come...
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