KELLY LEE CASSIDY

VENTURA, CA
NPI1861797615
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2011-01-25
Last Update Date2011-01-25
Business Address
Mr. KELLY LEE CASSIDY
955 E THOMPSON BLVD
VENTURA, CA 93001-3008
Phone number: 805-641-9100
Mailing Address
Mr. KELLY LEE CASSIDY
955 E THOMPSON BLVD
VENTURA, CA 93001-3008
Phone number: 805-641-9100
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