Individual
KELLY JO KEGERREIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1508 W 6TH AVE, SPOKANE, WA 99204-3409
(509) 624-5228
Mailing address
812 S WALNUT ST, SPOKANE, WA 99204-3326
(509) 624-3251
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
61297573
WA
101YM0800X
Mental Health Counselor
Primary
60910901
WA
104100000X
Social Worker
Primary
60910901
WA
Other
Enumeration date
04/08/2021
Last updated
01/15/2026
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