Individual
KELLY R JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDP
Contact information
Practice address
616 6TH ST, BREMERTON, WA 98337-1420
(360) 337-3776
Mailing address
PO BOX 960, BREMERTON, WA 98337-0212
(360) 377-3776
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
60892207
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
61127535
WA
Other
Enumeration date
04/20/2021
Last updated
02/26/2024
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