Individual
KELLY HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2701 SYLVAN DR W, UNIVERSITY PLACE, WA 98466-2740
(253) 985-1623
Mailing address
1314 S ZENO ST, AURORA, CO 80017-4324
(253) 985-1623
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH60965989
WA
101YP2500X
Professional Counselor
Primary
LH60965989
WA
101YP2500X
Professional Counselor
LPC0017286
CO
Other
Enumeration date
02/28/2014
Last updated
04/06/2023
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