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Robert Kelly, MA,CADC-I
Addiction (Substance Use Disorder) Counselor in Canby, Oregon
NPI 1891251286

Robert Kelly is an Addiction (Substance Use Disorder) Counselor based in Canby, OR and is specialized in Addiction (Substance Use Disorder). Robert Kelly practices in Canby, OR and has the professional credentials of MA,CADC-I. The NPI Number for Robert Kelly is 1891251286 and holds a License No. (Oregon).

The current practice location address for Robert Kelly is 178 Sw 2Nd Ave, Canby, OR and can be reached out via phone at 503-416-4547 and via fax at 503-416-4553.

Location: 178 Sw 2Nd Ave, Canby, OR, 97013-4152
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891251286
Provider Name
Robert Kelly
Credential
MA,CADC-I
Provider Entity Type
Individual
Gender
Male
Address
178 Sw 2Nd Ave, Canby, OR, 97013-4152
Phone Number
503-416-4547
Fax Number
503-416-4553
Provider Enumeration Date
02/11/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500764578 05 OR
institution
Provider Business Practice Location Address Details
Address
178 Sw 2Nd Ave
City
Canby
State
Oregon
Zip
97013-4152
Phone Number
503-416-4547
Fax Number
503-416-4553
person
Provider Business Mailing Address Details
Address
178 Sw 2Nd Ave
City
Canby
State
Oregon
Zip
97013-4152
Phone Number
503-416-4547
Fax Number
503-416-4553
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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