Individual
JULIE KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC-I
Contact information
Practice address
3087 E WARM SPRINGS RD, LAS VEGAS, NV 89120-3753
(702) 509-6621
Mailing address
3087 E WARM SPRINGS RD, LAS VEGAS, NV 89120-3753
(702) 509-6621
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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