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Mrs. Lacey Leeann Kelley, MED
Mental Health Counselor in Raymond, Washington
NPI 1558939538

Lacey Leeann Kelley is a Mental Health Counselor based in Vancouver, WA and is specialized in Mental Health. Lacey Leeann Kelley practices in Raymond, WA and has the professional credentials of MED. The NPI Number for Lacey Leeann Kelley is 1558939538 and holds a License No. 91-1324228 (Washington).

The current practice location address for Lacey Leeann Kelley is 300 Ocean Ave, Raymond, WA and can be reached out via phone at 360-942-2303.

Location: 300 Ocean Ave, Raymond, WA, 98682-2157
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558939538
Provider Name
Lacey Leeann Kelley
Credential
MED
Provider Entity Type
Individual
Gender
Female
Address
300 Ocean Ave, Raymond, WA, 98682-2157
Phone Number
360-942-2303
Fax Number
Provider Enumeration Date
06/15/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1174570949 05 WA
institution
Provider Business Practice Location Address Details
Address
300 Ocean Ave
City
Raymond
State
Washington
Zip
98577-3016
Phone Number
360-942-2303
Fax Number
person
Provider Business Mailing Address Details
Address
300 Ocean Ave
City
Raymond
State
Washington
Zip
98577-3016
Phone Number
360-942-2303
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
91-1324228 (Washington)
Definition
Definition to come...
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