KELLEY LYNN WHITECOTTON

GRASS VALLEY, CA
NPI1689021453
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  PT40257)
Additional Taxonomies101YM0800X Counselor Mental Health
Enumeration Date2016-05-20
Last Update Date2017-01-31
Business Address
MRS. KELLEY LYNN WHITECOTTON
500 CROWN POINT CIR
GRASS VALLEY, CA 95945
Phone number: 530-265-1437
Mailing Address
MRS. KELLEY LYNN WHITECOTTON
500 CROWN POINT CIR
GRASS VALLEY, CA 95945-9561
Phone number: 530-470-2425