Individual
KELSEY ANN SCOGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDPT
Contact information
Practice address
1616 CORNWALL AVE STE 205, BELLINGHAM, WA 98225-4642
(360) 927-9225
(360) 671-3574
Mailing address
PO BOX 2569, EVERETT, WA 98213-0569
(425) 212-4200
(425) 212-4220
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61318159
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61318159
SUDPT
WA
Enumeration date
07/27/2022
Last updated
10/22/2024
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