Individual
KELLY MCCAULEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDPT
Contact information
Practice address
1700 AIRPORT WAY S, SEATTLE, WA 98134-1618
(206) 487-9788
Mailing address
1019 NE 180TH ST, SHORELINE, WA 98155-3739
(206) 487-9788
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
61552612
WA
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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