person
Misty R Kelly, SUDCC
Addiction (Substance Use Disorder) Counselor in Woodland, California
NPI 1700582525

Misty R Kelly is an Addiction (Substance Use Disorder) Counselor based in Woodland, CA and is specialized in Addiction (Substance Use Disorder). Misty R Kelly practices in Woodland, CA and has the professional credentials of SUDCC. The NPI Number for Misty R Kelly is 1700582525 and holds a License No. 11402 (California).

The current practice location address for Misty R Kelly is 285 4Th St, Woodland, CA and can be reached out via phone at 530-662-2699.

Location: 285 4Th St, Woodland, CA, 95695-3501
person
Provider Profile Details
NPI Number
1700582525
Provider Name
Misty R Kelly
Credential
SUDCC
Provider Entity Type
Individual
Gender
Female
Address
285 4Th St, Woodland, CA, 95695-3501
Phone Number
530-662-2699
Fax Number
Provider Enumeration Date
02/02/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
285 4Th St
City
State
Zip
95695-3501
Phone Number
530-662-2699
Fax Number
person
Provider Business Mailing Address Details
Address
285 4Th St
City
State
Zip
95695-3501
Phone Number
530-662-2699
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
11402 (California)
Definition
Definition to come...
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