person
Mr. Kelly Lee Cassidy
Addiction (Substance Use Disorder) Counselor in Ventura, California
NPI 1861797615

Kelly Lee Cassidy is an Addiction (Substance Use Disorder) Counselor based in Ventura, CA and is specialized in Addiction (Substance Use Disorder). Kelly Lee Cassidy practices in Ventura, CA. The NPI Number for Kelly Lee Cassidy is 1861797615 and holds a License No. (California).

The current practice location address for Kelly Lee Cassidy is 955 E Thompson Blvd, Ventura, CA and can be reached out via phone at 805-641-9100 and via fax at 805-641-9040.

Location: 955 E Thompson Blvd, Ventura, CA, 93001-3008
person
Provider Profile Details
NPI Number
1861797615
Provider Name
Kelly Lee Cassidy
Credential
Provider Entity Type
Individual
Gender
Male
Address
955 E Thompson Blvd, Ventura, CA, 93001-3008
Phone Number
805-641-9100
Fax Number
805-641-9040
Provider Enumeration Date
01/25/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
955 E Thompson Blvd
City
State
Zip
93001-3008
Phone Number
805-641-9100
Fax Number
805-641-9040
person
Provider Business Mailing Address Details
Address
955 E Thompson Blvd
City
State
Zip
93001-3008
Phone Number
805-641-9100
Fax Number
805-641-9040
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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