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MR. KELLY RICHARD MCCLANAHAN RADT
NPI 1265918833
Counselor - Addiction (Substance Use Disorder) in San Diego, CA

Active since July 17, 2018
4161 MARLBOROUGH AVE, SAN DIEGO, CA 92105(619) 282-7274 Get Directions Write a Review

NPPES record last updated: July 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Kelly Richard Mcclanahan Radt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KELLY RICHARD MCCLANAHAN RADT (NPI 1265918833) is an individual addiction (substance use disorder) provider in San Diego, California and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1265918833
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. KELLY RICHARD MCCLANAHANCredential: RADT
Location Address4161 MARLBOROUGH AVESan Diego, CA 92105-1412
Mailing Address1081 Camino Del Rio S Ste 129San Diego, CA 92108-3544 · (619) 297-5131 · Fax (619) 296-3846
Phone(619) 282-7274
Sole ProprietorYes
Enumeration DateJuly 17, 2018
✔ NPI 1265918833 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
4161 MARLBOROUGH AVE, San Diego, CA 92105
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL THOR HOOK
Counselor (Addiction (Substance Use Disorder))
4161 MARLBOROUGH AVE
SAN DIEGO, CA 92105
San Diego County (619) 282-7274
STEPHAN MATTHEW DIEHL
Counselor (Addiction (Substance Use Disorder))
4161 MARLBOROUGH AVE
SAN DIEGO, CA 92105
San Diego County (619) 282-7274
CHINETTA MONIQUE CHRISTIAN RADT
Counselor (Addiction (Substance Use Disorder))
4161 MARLBOROUGH AVE
SAN DIEGO, CA 92105
San Diego County (619) 282-7274
ANTHONY CASTILLE CAODC
Counselor (Addiction (Substance Use Disorder))
4161 MARLBOROUGH AVE
SAN DIEGO, CA 92105
San Diego County (619) 282-7274
MR. DENNIS WAYNE BRIDWELL II SUDRC
Counselor (Addiction (Substance Use Disorder))
4161 MARLBOROUGH AVE
SAN DIEGO, CA 92105
San Diego County (619) 282-7274
CHRISTINA JANSON SUDRC
Counselor (Addiction (Substance Use Disorder))
4161 MARLBOROUGH AVE
SAN DIEGO, CA 92105
San Diego County (619) 282-7274
GIDGETT MONSIVAIS
Counselor (Addiction (Substance Use Disorder))
4161 MARLBOROUGH AVE
SAN DIEGO, CA 92105
San Diego County (619) 282-7274
KRISTINA ALVAREZ
Counselor (Professional)
4161 MARLBOROUGH AVE
SAN DIEGO, CA 92105
San Diego County (619) 282-7274

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Mcclanahan's NPI number?

The NPI number for Kelly Mcclanahan is 1265918833. It was assigned to this individual provider in the NPPES registry on July 17, 2018.

Where is Kelly Mcclanahan located?

Kelly Mcclanahan practices at 4161 Marlborough Ave, San Diego, CA 92105. The listed phone number is (619) 282-7274.

What is Kelly Mcclanahan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kelly Mcclanahan was last updated on July 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.