Individual
ANNA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
91 NORTH 1850 WEST, CEDAR CITY, UT 84720
(435) 865-6481
Mailing address
474 W 200 N, ST GEORGE, UT 84770-4505
(435) 586-4223
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/13/2009
Last updated
04/13/2009
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