KELLY YOUNG, CRADC
Clinic/Center - Rehabilitation, Substance Use Disorder
Active
Individual
NPI: 1104588177
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | No | 4486 (MO) |
| Peer Specialist | 175T00000X | No | 10017 () |
| Clinic/Center - Adult Mental Health | 261QM0850X | No | 2821 (MO) |
| Clinic/Center - Adolescent and Children Mental Health | 261QM0855X | No | 2821 (MO) |
| Clinic/Center - Rehabilitation, Substance Use Disorder | 261QR0405X | Yes | 2821 (MO) |
Frequently Asked Questions
NPI 1104588177 is the National Provider Identifier for KELLY YOUNG, CRADC, a Clinic/Center - Rehabilitation, Substance Use Disorder provider located in Joplin, MO. This NPI was enumerated on October 7, 2021.
KELLY YOUNG, CRADC practices at 501 S PENNSYLVANIA AVE, Joplin, MO 64801.
Quick Facts
- NPI
- 1104588177
- Type
- Individual
- Enumerated
- Oct 7, 2021
- Last Updated
- Oct 7, 2021
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