Individual
KELLEY KOHLWES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1102 A ST STE 426, TACOMA, WA 98402-5011
(253) 260-5167
Mailing address
1102 A ST STE 426, TACOMA, WA 98402-5011
(253) 260-5167
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF60893898
WA
Other
Enumeration date
08/24/2015
Last updated
09/22/2020
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