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

Mrs. Kelly Jene Mack, BS, CADCI

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1164692455

Mrs. Kelly Jene Mack, BS, CADCI is an Addiction (Substance Use Disorder) Counselor in Salem, Oregon. Licensed in Oregon. Registered with an NPI since 2008.

Licensed in
OR
In the registry since
2008
Specialties on file
2
What do these letters mean?
BS — Bachelor of Science
An undergraduate science degree.

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Practice location Address checks out

3737 Portland Rd NE
Salem, OR 97301-0311
Phone: (503) 390-2600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 05-11-34 (OR)

Record details

NPI number1164692455
Entity typeIndividual (Type 1)
GenderFemale
Credentials BS , CADCI
Sole proprietorNo
NPI enumeratedMarch 3, 2008
Last updated in NPPESJuly 10, 2019

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