Individual
MS. JENNIFER DANELLE KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1114 PACIFIC AVE, 3RD FLOOR, EVERETT, WA 98201-4231
(425) 258-5277
(425) 258-5275
Mailing address
1114 PACIFIC AVE, 3RD FLOOR, EVERETT, WA 98201-4231
(425) 258-5277
(425) 258-5275
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00006033
WA
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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