Individual
MR. KELLY KEITH DARROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADAC
Contact information
Practice address
4100 LUCIA LN, SANTA FE, NM 87507-3000
(505) 471-4985
Mailing address
4100 LUCIA LN, SANTA FE, NM 87507-3000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0083161
NM
Other
Enumeration date
07/19/2007
Last updated
07/19/2007
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