| Sandra Diane Kellar, RADT | |
|
717 Lincoln Blvd, Venice, CA 90291-2845 | |
| (310) 399-9883 | |
| (310) 399-9678 |
| Full Name | Sandra Diane Kellar |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 717 Lincoln Blvd, Venice, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093360331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | R8617 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra Diane Kellar, RADT 717 Lincoln Blvd, Venice, CA 90291-2845 Ph: (310) 399-9883 | Sandra Diane Kellar, RADT 717 Lincoln Blvd, Venice, CA 90291-2845 Ph: (310) 399-9883 |
Jorge Guerreiro Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 204 Hampton Dr, Venice, CA 90291 Phone: 310-396-6468 | |
Patricia Guadalupe Rivas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 717 Lincoln Blvd., Venice, CA 90291 Phone: 310-399-9883 Fax: 310-399-9678 | |
Bannupriya Ramachandran, Counselor Medicare: Medicare Enrolled Practice Location: 204 Hampton Dr, Venice, CA 90291 Phone: 310-396-6468 | |
Mr. Henry R. Gray, Counselor Medicare: Not Enrolled in Medicare Practice Location: 503 Ocean Front Walk, Venice, CA 90291 Phone: 310-392-3070 | |
Destiny Starlena Howell, MSW, MPH Counselor Medicare: Not Enrolled in Medicare Practice Location: 204 Hampton Dr, Venice, CA 90291 Phone: 310-396-6468 | |
Adriana Eversole, Counselor Medicare: Not Enrolled in Medicare Practice Location: 204 Hampton Dr, Venice, CA 90291 Phone: 650-438-9060 | |
Kelly Elizabeth Preston, ACSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 204 Hampton Dr, Venice, CA 90291 Phone: 323-864-3726 |