Individual
MRS. KELLEY TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, CDP, LICSWA
Contact information
Practice address
1224 N ASH ST, SPOKANE, WA 99201-2802
(509) 326-7740
(509) 326-6725
Mailing address
1224 N ASH ST, SPOKANE, WA 99201-2802
(509) 326-7740
(509) 326-6725
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP00005782
WA
1041C0700X
Clinical Social Worker
Primary
SC60475060
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952474405
—
WA
Enumeration date
02/19/2015
Last updated
02/19/2015
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