National Provider Identifier
Kelly Jennilee Carpenter, CASAC-T
Kelly Jennilee Carpenter, CASAC-T is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Sanborn, NY and a listed phone number of (716) 219-8700.
Profile Overview
- NPI
- 1861248494
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- April 25, 2024
- Last Updated
- April 25, 2024
Practice Location
- 6298 Inducon Dr E # Sanbornn
- Sanborn, NY 14132-9013
Phone: (716) 219-8700
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
- NPI
- 1861248494
- Entity Type
- Individual
- Last Name
- Carpenter
- First Name
- Kelly
- Middle Name
- Jennilee
- Credential
- CASAC-T
- Mailing Street Address
- 6298 Inducon Dr E # Sanbornn
- Mailing City
- Sanborn
- Mailing State
- NY
- Mailing ZIP Code
- 14132-9013
- Mailing Country
- US
- Mailing Phone
- (716) 201-8312
- Practice Street Address
- 6298 Inducon Dr E # Sanbornn
- Practice City
- Sanborn
- Practice State
- NY
- Practice ZIP Code
- 14132-9013
- Practice Country
- US
- Practice Phone
- (716) 219-8700
- Enumeration Date
- April 25, 2024
- Last Updated
- April 25, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 25, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X), Addiction (Substance Use Disorder) Counselor (101YA0400X)