Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. DEIDRA KELLY, CAC
Active Sole ProprietorMS. DEIDRA KELLY, CAC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in BROOKLYN, Maryland. NPI 1770151136 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · BROOKLYN, MD
Registration Details
- NPI Number
- 1770151136
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 14, 2021 (5.2003808991231 yrs)
- Last Updated
- Jun 14, 2021
- License
-
AC2833 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
112 E PATAPSCO AVEBROOKLYN, MD, 212251745Browse MD providers · Browse ZIP 21225
- Phone
- 6672602595
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in BROOKLYN, MD
| Name | Credential | NPI |
|---|---|---|
| GABRIELLE DRENNER | — | 1376424200 |
| CIERA DASHAWN ANDREWS | ADT | 1639739071 |
| ASHLEY TAYLOR | — | 1962223040 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.