| NPI | 1275357816 |
|---|---|
| Other Name | MICHELLE KELLEY, LCSW |
| Entity Type | Organization |
| Authorized Contact | MICHELLE KELLEY President 360-449-2505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-11-11 |
| Last Update Date | 2024-11-22 |