Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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MS. Kelly Janine Anderson, SUDRCI24481

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1104736990

MS. Kelly Janine Anderson, SUDRCI24481 is an Addiction (Substance Use Disorder) Counselor in Escondido, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026
Specialties on file
3
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Practice location Address checks out

161 N Date St
Escondido, CA 92025-3405
Phone: (760) 291-4788
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence MPSSQTUFZB (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 24481 (CA)
Behavior Technician Taxonomy 106S00000X · Licence RBT262840842 (CA)

Record details

NPI number1104736990
Entity typeIndividual (Type 1)
GenderFemale
Credentials SUDRCI24481
Sole proprietorNo
NPI enumeratedSeptember 11, 2026
Last updated in NPPESSeptember 11, 2026
Certification dateSeptember 11, 2026

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