Individual
BRIAN R KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW, CAADC
Contact information
Practice address
4750 VENTURE DR STE 400, ANN ARBOR, MI 48108-9505
(313) 666-7742
Mailing address
2135 HOLLOW OAK DR, ANN ARBOR, MI 48103-8402
(646) 660-3713
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
C-03804
MI
1041C0700X
Clinical Social Worker
Primary
6801112117
MI
Other
Enumeration date
01/10/2017
Last updated
09/25/2025
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