| Doctor Name: | DARLENE SUE KELLEY |
| NPI Number: | 1407821978 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPCC CCDCIII |
| License Number: | E943900 |
| Business Practice Address: | 2816 Bluegrass Dr Highland Heights, KY - 410761577 |
| Business Phone Number: | 8594428500 |
| Business Fax Number: | 8594428555 |
| Mailing Address: | 9599 Summer Hill Rd, CALIFORNIA |
| State: | KY |
| Postal Code: | 410079055 |
| Phone Number: | 8596350500 |
| Fax Number: | 8596350504 |
| NPI Enumeration Date: | 02/20/2006 |
| NPI Last Update Date: | 03/18/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | E943900 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |