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1407576747
KELLEN AINLEY
VANCOUVER, WA
NPI
1407576747
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: WA CG61344261)
Enumeration Date
2022-08-29
Last Update Date
2022-08-29
Business Address
KELLEN AINLEY
3200 NE 109TH AVE
VANCOUVER, WA 98682-7749
Phone number: 360-695-1014
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Mailing Address
KELLEN AINLEY
3200 NE 109TH AVE
VANCOUVER, WA 98682-7749
Phone number:
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