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Individual
MRS. LACEY LEEANN KELLEY
Active
Individual
MRS. LACEY LEEANN KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. ED
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC.LH.61479922
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174570949
—
WA
Enumeration date
06/15/2021
Last updated
11/04/2025
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