Individual
KELLI ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 SIMPSON AVE STE 101, ABERDEEN, WA 98520-4333
(360) 612-0012
(360) 532-0670
Mailing address
PO BOX 1847, LONGVIEW, WA 98632-8140
(360) 423-0203
(360) 577-0269
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
60881285
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/23/2019
Last updated
11/21/2019
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