Individual
MRS. KELLY MARIE STOLTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, CDP, NCACI
Contact information
Practice address
1305 MANSFIELD ST STE 5, RICHLAND, WA 99352-3588
(509) 942-1624
Mailing address
6203 CHEHALIS LN, PASCO, WA 99301-6731
(509) 528-0134
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00005123
WA
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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