Individual
KELLIE WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC INTERN
Contact information
Practice address
272 NW MEDICAL LOOP STE, ROSEBURG, OR 97471-5597
(541) 900-4285
(888) 810-2993
Mailing address
1757 SCHOOLHOUSE CT NW, SALEM, OR 97304-3292
(541) 760-1033
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
R6803
OR
Other
Enumeration date
04/22/2021
Last updated
04/22/2021
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