Individual
RICHARD LEE KELLY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3218 NORMOUNT AVE, BALTIMORE, MD 21216-3821
(443) 414-6873
Mailing address
3218 NORMOUNT AVE, BALTIMORE, MD 21216-3821
(443) 414-6873
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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