Individual
KELLY ANNE TIJERINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
315 N 2ND ST, YAKIMA, WA 98901-2334
(509) 312-2716
Mailing address
315 N 2ND ST, YAKIMA, WA 98901-2334
(509) 312-2716
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDPT.CO.61424343
WA
Other
Enumeration date
05/13/2026
Last updated
05/13/2026
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