Individual
MS. CARLY KELLEY HEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDPT
Contact information
Practice address
2280 STATE ROUTE 821, YAKIMA, WA 98901-8302
(590) 457-0990
(509) 457-0312
Mailing address
PO BOX 217, SELAH, WA 98942-0217
(590) 457-0990
(509) 457-0312
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61607069
WA
Other
Enumeration date
11/09/2024
Last updated
11/09/2024
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