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

William Kelly Jr., RAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1538860259

William Kelly Jr., RAC is an Addiction (Substance Use Disorder) Counselor in Gardena, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

15519 Crenshaw Blvd
Gardena, CA 90249-4525
Phone: (310) 679-9031
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 13117-R (CA)

Record details

NPI number1538860259
Entity typeIndividual (Type 1)
GenderMale
Credentials RAC
Sole proprietorYes
NPI enumeratedMarch 10, 2023
Last updated in NPPESMarch 10, 2023
Certification dateMarch 10, 2023

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