KELSEY RAE GRAVELLE

LONGVIEW, WA
NPI1952840944
Former NameKELSEY RAE DELAGRANGE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: WA  SC61265187)
Additional Taxonomies101Y00000X Counselor
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA  CO60714593)
Enumeration Date2017-02-23
Last Update Date2024-07-25
Business Address
KELSEY RAE GRAVELLE SUDP LICSWA
900 FIR ST
LONGVIEW, WA 98632-2544
Phone number: 360-575-3316
Mailing Address
KELSEY RAE GRAVELLE SUDP LICSWA
PO BOX 2429
LONGVIEW, WA 98632-8486
Phone number: 360-353-9422