Individual
MR. KELVIN R GILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CHEMICAL DEPENDENCY
Contact information
Practice address
17337 RESERVATION RD, LA CONNER, WA 98257-8802
(360) 466-1024
(360) 466-7364
Mailing address
17337 RESERVATION RD, LA CONNER, WA 98257-8802
(360) 466-1024
(360) 466-7364
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00060166467
WA
Other
Enumeration date
09/21/2016
Last updated
09/26/2016
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