PATRICK KEVIN KELLY

ANAHEIM, CA
NPI1013783059
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-11-30
Last Update Date2026-09-22
Business Address
PATRICK KEVIN KELLY SUDCC2
1320 W PEARL ST
ANAHEIM, CA 92801-5941
Phone number: 866-811-3656
Mailing Address
PATRICK KEVIN KELLY SUDCC2
1320 W PEARL ST
ANAHEIM, CA 92801-5941
Phone number: