WILLIAM KELLY

GARDENA, CA
NPI1538860259
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  13117-R)
Enumeration Date2023-03-10
Last Update Date2023-03-10
Business Address
WILLIAM KELLY RAC
15519 CRENSHAW BLVD
GARDENA, CA 90249-4525
Phone number: 310-679-9031
Mailing Address
WILLIAM KELLY RAC
15519 CRENSHAW BLVD
GARDENA, CA 90249-4525
Phone number: 310-679-9031
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