Individual
MS. KELLIE R ANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8282 28TH CT NE, LACEY, WA 98516-7162
(360) 280-4414
Mailing address
8282 28TH CT NE, LACEY, WA 98516-7162
(360) 280-4414
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/04/2012
Last updated
01/03/2014
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