Individual
JAMIE LEE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDP
Contact information
Practice address
1321 N ASH ST, SPOKANE, WA 99201-2803
(509) 327-3120
(509) 327-3228
Mailing address
6225 N LACEY ST, SPOKANE, WA 99208-2443
(509) 325-6800
(509) 321-0706
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60429390
WA
Other
Enumeration date
10/24/2018
Last updated
07/06/2021
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