Individual
KELLE ENGLISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1424 S 7TH AVE, BLDG. C, PHOENIX, AZ 85007-3902
(602) 258-3600
(602) 256-0514
Mailing address
1424 S 7TH AVE, BLDG. C, PHOENIX, AZ 85007-3902
(602) 258-3600
(602) 256-0514
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-11631
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
PENDING
—
Enumeration date
05/22/2015
Last updated
05/22/2015
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