person
Kelly Marie Fenimore, LMHC
Mental Health Counselor in Vancouver, Washington
NPI 1669808606

Kelly Marie Fenimore is a Mental Health Counselor based in Vancouver, WA and is specialized in Mental Health. Kelly Marie Fenimore practices in Vancouver, WA and has the professional credentials of LMHC. The NPI Number for Kelly Marie Fenimore is 1669808606 and holds a License No. CO60396096 (Washington).

The current practice location address for Kelly Marie Fenimore is 4610 Ne 77Th Ave Ste 104, Vancouver, WA and can be reached out via phone at 360-602-2533 and via fax at 360-831-0118.

Location: 4610 Ne 77Th Ave Ste 104, Vancouver, WA, 98662-6790
person
Provider Profile Details
NPI Number
1669808606
Provider Name
Kelly Marie Fenimore
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
4610 Ne 77Th Ave Ste 104, Vancouver, WA, 98662-6790
Phone Number
360-602-2533
Fax Number
360-831-0118
Provider Enumeration Date
09/23/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4610 Ne 77Th Ave Ste 104
City
State
Zip
98662-6790
Phone Number
360-602-2533
Fax Number
360-831-0118
person
Provider Business Mailing Address Details
Address
4610 Ne 77Th Ave Ste 104
City
State
Zip
98662-6790
Phone Number
360-602-2533
Fax Number
360-831-0118
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CG60417582 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
CO60396096 (Washington)
Definition
Definition to come...
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