Individual
BLAIR NOEL VELEZ-KELSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHCP
Contact information
Practice address
1009 KOALA DR, OMAK, WA 98841-9247
(509) 826-8444
Mailing address
424 S GRANITE ST, OMAK, WA 98841-9541
(831) 234-4234
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG61223433
WA
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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