Individual
MS. RENEE KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHS, CADC, MISA
Contact information
Practice address
20550 S LAGRANGE RD, FRANKFORT, IL 60423-1397
(815) 630-8828
(708) 720-1030
Mailing address
20550 S LAGRANGE RD, FRANKFORT, IL 60423-1397
(815) 630-8828
(708) 720-1030
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/18/2014
Last updated
06/10/2019
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