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
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