Individual
KELLIE J. LYNNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDPT
Contact information
Practice address
14819 E MISSION AVE, SPOKANE VALLEY, WA 99216-1960
(509) 315-9791
(509) 463-5531
Mailing address
14819 E MISSION AVE, SPOKANE VALLEY, WA 99216-1960
(509) 315-9791
(509) 463-5531
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61562084
WA
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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