Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Marie Koelsch, RADT1

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1417611666

Kelly Marie Koelsch, RADT1 is an Addiction (Substance Use Disorder) Counselor in Placerville, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021

Practice location Address checks out

2844 Coloma St
Placerville, CA 95667-4406
Phone: (530) 626-9240
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence R1447681021 (CA)

Record details

NPI number1417611666
Entity typeIndividual (Type 1)
GenderFemale
Credentials RADT1
Sole proprietorNo
NPI enumeratedOctober 25, 2021
Last updated in NPPESJune 15, 2022
Certification dateJune 15, 2022

Other providers in Placerville