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

Whitney Marie Kelly, SUDRC12452

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1376203356

Whitney Marie Kelly, SUDRC12452 is an Addiction (Substance Use Disorder) Counselor in Santa Maria, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021
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Practice location Address checks out

412B E Tunnell St
Santa Maria, CA 93454-4146
Phone: (805) 925-0315
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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 12452 (CA)

Record details

NPI number1376203356
Entity typeIndividual (Type 1)
GenderFemale
Credentials SUDRC12452
Sole proprietorYes
NPI enumeratedDecember 18, 2021
Last updated in NPPESDecember 18, 2021
Certification dateDecember 1, 2021

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