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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1659868941

Patrick C Kelley, LCDCIII, QMHS is an Addiction (Substance Use Disorder) Counselor in Coal Grove, Ohio. Licensed in Ohio. Registered with an NPI since 2018.

Licensed in
OH
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

225 Carlton Davidson Ln
Coal Grove, OH 45638-2924
Phone: (740) 533-0648
Fax: (740) 353-1662
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence C.2305166-TRNE (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LCDCIII.162407 (OH)

Record details

NPI number1659868941
Entity typeIndividual (Type 1)
GenderMale
Credentials LCDCIII , QMHS
Sole proprietorNo
NPI enumeratedApril 23, 2018
Last updated in NPPESSeptember 5, 2023
Certification dateSeptember 5, 2023

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