KELLY HENCKEL

SANTA BARBARA, CA
NPI1164781225
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2012-05-10
Last Update Date2012-05-10
Business Address
-- KELLY HENCKEL
4129 STATE ST
SANTA BARBARA, CA 93110-1848
Phone number: 805-964-4795
Mailing Address
-- KELLY HENCKEL
107 S SOLEDAD ST
SANTA BARBARA, CA 93103-3530
Phone number: