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KELLY PEREZ
NPI 1720640394
Counselor - Addiction (Substance Use Disorder) in Elk Grove, CA

Active since July 03, 2019
9150 WATERMAN RD APT 116, ELK GROVE, CA 95624(916) 886-6255 Get Directions Write a Review

NPPES record last updated: July 3, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Perez NPPES

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

KELLY PEREZ (NPI 1720640394) is an individual addiction (substance use disorder) provider in Elk Grove, California and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1720640394
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameKELLY PEREZ
Location Address9150 WATERMAN RD APT 116Elk Grove, CA 95624-5079
Mailing Address9150 Waterman Rd Apt 116Elk Grove, CA 95624-5079 · (916) 886-6255
Phone(916) 886-6255
Sole ProprietorNo
Enumeration DateJuly 3, 2019
✔ NPI 1720640394 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
9150 WATERMAN RD APT 116, Elk Grove, CA 95624
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Other Identifiers 1

Other12345CA · Intercoastcollege

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 Perez's NPI number?

The NPI number for Kelly Perez is 1720640394. It was assigned to this individual provider in the NPPES registry on July 3, 2019.

Where is Kelly Perez located?

Kelly Perez practices at 9150 Waterman Rd Apt 116, Elk Grove, CA 95624. The listed phone number is (916) 886-6255.

What is Kelly Perez'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 Perez was last updated on July 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.