Most Relevant Information
Provider Data
| NPI Number: | 1003376195 |
| Provider Name: | KELLI ALEXANDER |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: | 60881285 |
Most Important Dates
| Enumeration Date: | 03/23/2019 |
| Last Updated: | 11/21/2019 |
Provider Practice Location
2700 SIMPSON AVE STE 101
ABERDEEN
WA
985204333
Practice Location Phone/Fax
| Phone: | 3606120012 |
| Fax: | 3605320670 |
Provider Mailing Location
PO BOX 1847
LONGVIEW
WA
986328140
Provider Mailing Phone/Fax
| Phone: | 3604230203 |
| Fax: | 3605770269 |