Mr. Kelly Lee Cassidy
Mr. Kelly Lee Cassidy is an Addiction (Substance Use Disorder) Counselor in Ventura, California. Practices as a sole proprietor. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
955 E Thompson BlvdVentura, CA 93001-3008
Phone: (805) 641-9100
Fax: (805) 641-9040
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1861797615 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 25, 2011 |
| Last updated in NPPES | January 25, 2011 |
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