Individual
KELLY NUTTING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
11 N 11TH AVE STE 108, YAKIMA, WA 98902-3085
(916) 214-3996
Mailing address
221 S 25TH AVE, YAKIMA, WA 98902-3704
(916) 214-3996
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF61172000
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2100847
—
WA
Enumeration date
04/03/2018
Last updated
09/23/2021
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