person
Kelli Lynn Bannerman, BA
Mental Health Counselor in Olympia, Washington
NPI 1790215770

Kelli Lynn Bannerman is a Mental Health Counselor based in Olympia, WA and is specialized in Mental Health. Kelli Lynn Bannerman practices in Olympia, WA and has the professional credentials of BA. The NPI Number for Kelli Lynn Bannerman is 1790215770 and holds a License No. (Washington).

The current practice location address for Kelli Lynn Bannerman is 3857 Martin Way E, Olympia, WA and can be reached out via phone at 360-704-7170.

Location: 3857 Martin Way E, Olympia, WA, 98506-5268
person
Provider Profile Details
NPI Number
1790215770
Provider Name
Kelli Lynn Bannerman
Credential
BA
Provider Entity Type
Individual
Gender
Female
Address
3857 Martin Way E, Olympia, WA, 98506-5268
Phone Number
360-704-7170
Fax Number
Provider Enumeration Date
06/13/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100829 05 WA
institution
Provider Business Practice Location Address Details
Address
3857 Martin Way E
City
State
Zip
98506-5268
Phone Number
360-704-7170
Fax Number
person
Provider Business Mailing Address Details
Address
3857 Martin Way E
City
State
Zip
98506-5268
Phone Number
360-704-7170
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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