Individual
MILISSA KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9811 63RD AVE S, SEATTLE, WA 98118-5834
(206) 755-5400
Mailing address
9811 63RD AVE S, SEATTLE, WA 98118-5834
(206) 755-5400
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MHC.LH.61522274
WA
101Y00000X
Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/06/2022
Last updated
05/01/2026
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