Sandra Diane Kellar, RADT
Counselor, Addiction (Substance Use Disorder) in Venice, CA. Individual provider (NPI-1).
NPI number1093360331
StatusActive
Last updated in NPPESAug 5, 2019
Details
- NPI
- 1093360331
- Entity type
- Individual (NPI-1)
- Name
- Sandra Diane Kellar
- Credential
- RADT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 5, 2019
- Last updated
- Aug 5, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | R8617 | CA | Yes |
Practice location
717 Lincoln BlvdVenice, CA 90291-2845
Phone 310-399-9883 · Fax 310-399-9678
Mailing address
717 Lincoln BlvdVenice, CA 90291-2845
Phone 310-399-9883 · Fax 310-399-9678
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All 71 Addiction (Substance Use Disorder) Counselor providers in Venice · All 751 providers in Venice
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