Deidra Kelly, CAC Valid NPI

Individual provider · Addiction (Substance Use Disorder) Counselor · Brooklyn, MD

NPI

1770151136

Type

Individual (Type 1)

Primary specialty

Addiction (Substance Use Disorder) Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YA0400X

License number

AC2833 (MD)

Sex

Female

Sole proprietor

Yes

Enumerated

2021-06-14

Last updated

2021-06-14