MICHAEL KELLY

ATASCADERO, CA
NPI1962874008
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2015-10-28
Last Update Date2015-10-28
Business Address
-- MICHAEL KELLY
6500 MORRO RD SUITE D
ATASCADERO, CA 93422-4142
Phone number: 805-461-5212
Mailing Address
-- MICHAEL KELLY
6500 MORRO RD SUITE D
ATASCADERO, CA 93422-4142
Phone number: 805-461-5212
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