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Ms. Tara B Kelly
Student in an Organized Health Care Education/Training Program in Spokane, Washington
NPI 1073219515

Tara B Kelly is a Student in an Organized Health Care Education/Training Program based in Spokane, WA. Tara B Kelly practices in Spokane, WA. The NPI Number for Tara B Kelly is 1073219515 and holds a License No. CG61380183 (Washington).

The current practice location address for Tara B Kelly is 2118 E Sprague Ave, Spokane, WA and can be reached out via phone at 509-838-4651.

Location: 2118 E Sprague Ave, Spokane, WA, 99202-1510
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073219515
Provider Name
Tara B Kelly
Credential
Provider Entity Type
Individual
Gender
Female
Address
2118 E Sprague Ave, Spokane, WA, 99202-1510
Phone Number
509-838-4651
Fax Number
Provider Enumeration Date
02/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2118 E Sprague Ave
City
Spokane
State
Washington
Zip
99202-3125
Phone Number
509-838-4651
Fax Number
person
Provider Business Mailing Address Details
Address
2118 E Sprague Ave
City
Spokane
State
Washington
Zip
99202-3125
Phone Number
509-838-4651
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
CG61380183 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
CG61380183 (Washington)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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