Individual
CLIFTON KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
15408 MAIN ST, #107, MILL CREEK, WA 98012-9024
(206) 295-3784
Mailing address
15408 MAIN ST, #107, MILL CREEK, WA 98012-9024
(206) 295-3784
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH60468765
WA
Other
Enumeration date
04/03/2014
Last updated
05/26/2014
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