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

Misty R Kelly, SUDCC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1700582525

Misty R Kelly, SUDCC is an Addiction (Substance Use Disorder) Counselor in Woodland, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

215 W Beamer St
Woodland, CA 95695-2510
Phone: (530) 405-2800
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 11402 (CA)

Record details

NPI number1700582525
Entity typeIndividual (Type 1)
GenderFemale
Credentials SUDCC
Sole proprietorNo
NPI enumeratedFebruary 2, 2023
Last updated in NPPESNovember 13, 2024
Certification dateNovember 12, 2024

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