Individual
DANA MONROE KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31772 CASINO DR, LAKE ELSINORE, CA 92530-4502
(951) 674-9400
Mailing address
31772 CASINO DR, LAKE ELSINORE, CA 92530-4502
(951) 674-9400
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
CA
175T00000X
Peer Specialist
Primary
—
CA
Other
Enumeration date
08/16/2021
Last updated
06/12/2023
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