Individual
MS. BETTY J KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1711 E EVANS AVE, PUEBLO, CO 81004-3349
(719) 561-9850
(719) 564-7212
Mailing address
1802 JERRY MURPHY RD, PUEBLO, CO 81001-1506
(719) 545-3547
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4464
CO
Other
Enumeration date
06/29/2007
Last updated
07/08/2007
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