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 Date2023-02-02
Business Address
MISTY R KELLY SUDCC
285 4TH ST
WOODLAND, CA 95695-3501
Phone number: 530-662-2699
Mailing Address
MISTY R KELLY SUDCC
285 4TH ST
WOODLAND, CA 95695-3501
Phone number: 530-662-2699
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