Individual
SCOTT PAUL KESILIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
118 E 8TH ST, PORT ANGELES, WA 98362-6129
(360) 457-0431
(360) 457-0493
Mailing address
118 E 8TH ST, PORT ANGELES, WA 98362-6129
(360) 457-0431
(360) 457-0493
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/28/2022
Last updated
12/02/2024
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