KELLEY STORY LADC, CCS
NPI 1194862821
Counselor - Addiction (Substance Use Disorder) in Lebanon, OR
Active since January 31, 2007
About Kelley Story Ladc, Ccs NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLEY STORY LADC, CCS (NPI 1194862821) is an individual addiction (substance use disorder) provider in Lebanon, Oregon, licensed in Oregon (13-R-34) and active in the NPI registry since January 2007.
NPPES Registry Identity
NPI1194862821
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKELLEY STORYCredential: LADC, CCS
Location Address100 MULLINS DR STE C2Lebanon, OR 97355-2868
Mailing Address100 Mullins Dr Ste C2Lebanon, OR 97355-2868 · (541) 451-6388
Phone(541) 451-6388
Sole ProprietorNo
Enumeration DateJanuary 31, 2007
Last NPPES UpdateSeptember 13, 2018
✔ NPI 1194862821 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OR · 13-R-34
100 MULLINS DR STE C2, Lebanon, OR 97355
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
100 MULLINS DR STE C2
LEBANON, OR 97355
LEBANON, OR 97355
Counselor (Addiction (Substance Use Disorder))
100 MULLINS DR STE C2
LEBANON, OR 97355
LEBANON, OR 97355
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194862821, enumerated as an "individual" on January 31, 2007.
The provider is located at 100 MULLINS DR STE C2 LEBANON, OR 97355 and the phone number is (541) 451-6388.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
