| Ms Deidra Kelly, CAC | |
|
112 E Patapsco Ave, Brooklyn, MD 21225-1745 | |
| (667) 260-2595 | |
| Not Available |
| Full Name | Ms Deidra Kelly |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 112 E Patapsco Ave, Brooklyn, Maryland |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770151136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | AC2833 (Maryland) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Deidra Kelly, CAC 723 Stafford Hill Dr, Glen Burnie, MD 21061-4879 Ph: (410) 967-9131 | Ms Deidra Kelly, CAC 112 E Patapsco Ave, Brooklyn, MD 21225-1745 Ph: (667) 260-2595 |
Ciera Dashawn Andrews, ADT Counselor Medicare: Not Enrolled in Medicare Practice Location: 2857 Seamon Ave, Brooklyn, MD 21225 Phone: 202-981-0925 | |
Ashley Taylor, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5710 Ritchie Hwy, Brooklyn, MD 21225 Phone: 410-636-5600 |