Individual
MR. KELLY MICHAEL FINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LISAC
Contact information
Practice address
5022 N 54TH AVE STE 4, GLENDALE, AZ 85301-7531
(623) 931-4343
(623) 939-3476
Mailing address
5022 N 54TH AVE STE 4, GLENDALE, AZ 85301-7531
(623) 931-4343
(623) 939-3476
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-10886
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
600248032
MAGELLAN PROVIDER ID NUMB
AZ
Enumeration date
03/24/2008
Last updated
03/24/2008
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