Individual
MS. LOUISE KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, CDP, LPC
Contact information
Practice address
7933 BITTERN CT SE, OLYMPIA, WA 98513-5504
(360) 359-2473
Mailing address
7933 BITTERN CT SE, OLYMPIA, WA 98513-5504
(360) 359-2473
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RC00009168
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CDP
CHEMICAL DEPENDENCY PROFE
WA
01
—
LH00008542
LMHC
WA
Enumeration date
12/08/2006
Last updated
08/13/2013
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