Individual
ALISA KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMHC, CMHS, MHP
Contact information
Practice address
1033 SW 152ND ST, BURIEN, WA 98166-1845
(206) 242-1698
(206) 243-0757
Mailing address
1033 SW 152ND ST, BURIEN, WA 98166-1845
(206) 242-1698
(206) 243-0757
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH60149101
WA
Other
Enumeration date
09/27/2012
Last updated
09/27/2012
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