Individual
KELLY DELGADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRC,LPCC-S,LICDC-CS
Contact information
Practice address
100 ELMWOOD PARK DR, DAYTON, OH 45449-5402
(937) 384-0580
Mailing address
100 ELMWOOD PARK DR, DAYTON, OH 45449-5402
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
001131
OH
101YP2500X
Professional Counselor
Primary
E.1700034
OH
Other
Enumeration date
02/24/2017
Last updated
12/04/2018
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