KELLIE ANNE MONTGOMERY CADAC II
NPI 1922141589
Counselor - Addiction (Substance Use Disorder) in Yuba City, CA
Active since February 14, 2007
About Kellie Anne Montgomery Cadac Ii NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLIE ANNE MONTGOMERY CADAC II (NPI 1922141589) is an individual addiction (substance use disorder) provider in Yuba City, California, licensed in California (A8561306) and active in the NPI registry since February 2007.
NPPES Registry Identity
NPI1922141589
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKELLIE ANNE MONTGOMERYCredential: CADAC II
Location Address1965 LIVE OAK BLVDYuba City, CA 95991-8828
Mailing AddressPo Box 2Olivehurst, CA 95961-0002 · (530) 822-7320 · Fax (530) 822-7470
Phone(530) 822-7200
Fax(530) 822-3296
Sole ProprietorNo
Enumeration DateFebruary 14, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1922141589 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 CA · A8561306
1965 LIVE OAK BLVD, Yuba City, CA 95991
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.
Licensed Psychiatric Technician
1965 LIVE OAK BLVD
YUBA CITY, CA 95991
YUBA CITY, CA 95991
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922141589, enumerated as an "individual" on February 14, 2007.
The provider is located at 1965 LIVE OAK BLVD YUBA CITY, CA 95991 and the phone number is (530) 822-7200.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
