MISTY R KELLY

WOODLAND, CA
NPI1700582525
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  11402)
Enumeration Date2023-02-02
Last Update Date2024-11-13
Business Address
MISTY R KELLY SUDCC
215 W BEAMER ST
WOODLAND, CA 95695-2510
Phone number: 530-405-2800
Mailing Address
MISTY R KELLY SUDCC
215 W BEAMER ST
WOODLAND, CA 95695-2510
Phone number: 530-405-2800
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