Individual
MS. MARY-ANN RUTH KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
2806 DOUGLAS AVE, BELLINGHAM, WA 98225-6930
(360) 676-2187
(360) 676-2162
Mailing address
2806 DOUGLAS AVE, BELLINGHAM, WA 98225-6930
(360) 676-2187
(360) 676-2162
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
RC00028963
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00002449
WA
Other
Enumeration date
07/24/2008
Last updated
07/24/2008
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