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Search › Missouri › Substance Use Disorder Rehabilitation Clinic/Center

Kelly Young, CRADC

NPI 1104588177 · on the registry since 2021 · sole proprietor

Practice

Address
501 S Pennsylvania Ave
Joplin, MO 64801
Phone
(417) 553-0043
Fax
(417) 553-0081
Organisation at this address
St Jude Home Care Of The Four States, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
Substance Use Disorder Rehabilitation Clinic/Center
261QR0405X
Also registered as
Addiction (Substance Use Disorder) Counselor
Peer Specialist
Adult Mental Health Clinic/Center
Adolescent and Children Mental Health Clinic/Center
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-10-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri