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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1093360331

Sandra Diane Kellar, RADT is an Addiction (Substance Use Disorder) Counselor in Venice, California. Licensed in California. Registered with an NPI since 2019.

Licensed in
CA
In the registry since
2019
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Practice location Address checks out

717 Lincoln Blvd
Venice, CA 90291-2845
Phone: (310) 399-9883
Fax: (310) 399-9678
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence R8617 (CA)

Record details

NPI number1093360331
Entity typeIndividual (Type 1)
GenderFemale
Credentials RADT
Sole proprietorNo
NPI enumeratedAugust 5, 2019
Last updated in NPPESAugust 5, 2019
Mailing address717 Lincoln Blvd, Venice, CA 90291-2845

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