Individual
BRENDA V KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3107 S GRAND AVE, LOS ANGELES, CA 90007-3816
(213) 744-8186
Mailing address
2644 30TH ST STE 100, SANTA MONICA, CA 90405-3051
(323) 333-9946
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/24/2019
Last updated
08/10/2022
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