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Individual
KELLEY KAYE ROSS-HOPKINS
Active
Individual
KELLEY KAYE ROSS-HOPKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDCIII
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCIII.121033
OH
175T00000X
Peer Specialist
APS.005267
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0438532
—
OH
Enumeration date
05/15/2017
Last updated
09/20/2024
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