Jazaiha Lanae Kelley
Jazaiha Lanae Kelley is an Addiction (Substance Use Disorder) Counselor in Modesto, California. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
2700 Brenner WayModesto, CA 95350-1704
Phone: (559) 241-3239
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1174202386 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 14, 2023 |
| Last updated in NPPES | July 14, 2023 |
| Certification date | July 14, 2023 |
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