Individual
KELLY RYAN WOODS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LICSW
Contact information
Practice address
510 W 1ST AVE, TOPPENISH, WA 98948-1564
(509) 865-5600
Mailing address
PO BOX 190, TOPPENISH, WA 98948-0190
(509) 865-2395
(509) 865-0757
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CG60740446
WA
103TC1900X
Counseling Psychologist
LH60604130
WA
104100000X
Social Worker
LW60560942
WA
1041C0700X
Clinical Social Worker
Primary
LW60560942
WA
1041C0700X
Clinical Social Worker
SC60340940
WA
Other
Enumeration date
03/31/2014
Last updated
05/13/2026
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