Individual
MS. SHARIE DARLENE KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSWA, CADC I
Contact information
Practice address
331 SE 2ND ST, PENDLETON, OR 97801-2224
(541) 276-6207
(541) 276-4628
Mailing address
331 SE 2ND ST, PENDLETON, OR 97801-2224
(541) 276-6207
(541) 276-4628
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
13-11-01
OR
1041C0700X
Clinical Social Worker
Primary
A5246
OR
Other
Enumeration date
09/04/2012
Last updated
01/22/2016
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