Individual
BRET M KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
616 6TH ST, BREMERTON, WA 98337-1420
(360) 377-3776
Mailing address
616 6TH ST, BREMERTON, WA 98337-1420
(360) 377-3776
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH 60171122
WA
Other
Enumeration date
03/08/2007
Last updated
03/28/2013
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