Most Relevant Information
Provider Data
| NPI Number: | 1003286006 |
| Provider Name: | KELSEY PORTER |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | CG60606421 |
Most Important Dates
| Enumeration Date: | 10/02/2015 |
| Last Updated: | 10/02/2015 |
Provider Practice Location
609 NORTHSHORE DR
BELLINGHAM
WA
982264414
Practice Location Phone/Fax
| Phone: | 3606766000 |
| Fax: |
Provider Mailing Location
609 NORTHSHORE DR
BELLINGHAM
WA
982264414
Provider Mailing Phone/Fax
| Phone: | 3606766000 |
| Fax: |