| NPI | 1760682439 |
|---|---|
| Other Name | KELLI RENEE ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: None) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2022-04-26 |