SANDRA DIANE KELLAR RADT NPI 1093360331

NPI Information

  • NPI: 1093360331
  • Provider Name: SANDRA DIANE KELLAR, RADT
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 717 LINCOLN BLVD
    VENICE, CA
    ZIP 90291
  • Phone: (310) 399-9883

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NPI Details

Sandra Diane Kellar, RADT is an addiction (substance use disorder) counselor in Venice, CA. Sandra Diane Kellar, RADT NPI is 1093360331. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

717 LINCOLN BLVD
VENICE, CA
ZIP 90291-845
Phone: (310) 399-9883
Fax: (310) 399-9678

The enumeration date for this NPI number is 8/5/2019 and was last updated on 8/5/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)R8617CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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