Individual
KELLY ELLINGSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
16232 BOTHELL EVERETT HWY # 1109, MILL CREEK, WA 98012-1520
(425) 522-2555
Mailing address
16232 BOTHELL EVERETT HWY # 1109, MILL CREEK, WA 98012-1520
(425) 522-2555
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
—
WA
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
08/19/2019
Last updated
03/15/2025
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