KELLY LYNN MCKIBBEN

TRABUCO CANYON, CA
NPI1144960543
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1439310721)
Enumeration Date2022-04-01
Last Update Date2022-07-01
Business Address
KELLY LYNN MCKIBBEN RADT
20331 FLANAGAN ROAD
TRABUCO CANYON, CA 92679
Phone number: 818-582-8832
Mailing Address
KELLY LYNN MCKIBBEN RADT
5392 SIERRA ROJA RD
IRVINE, CA 92603-3828
Phone number: 949-350-5202
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