Individual
KELSEY MAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 NE COLUMBIA RD, SEATTLE, WA 98195-6062
(206) 616-1352
Mailing address
PO BOX 357920, SEATTLE, WA 98195-7920
(206) 616-1352
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY34245
CA
103T00000X
Psychologist
Primary
PY61488555
WA
225C00000X
Rehabilitation Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
04/22/2020
Last updated
10/02/2024
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