Individual
KELLY S ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
7600 NE 41ST ST STE 200, VANCOUVER, WA 98662-6772
(564) 208-0023
Mailing address
100 N HOWARD ST STE W, SPOKANE, WA 99201-0508
(564) 208-0023
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
MC61499734
WA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/26/2018
Last updated
01/12/2024
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