Most Relevant Information
Provider Data
| NPI Number: | 1003598301 |
| Provider Name: | KELLY KASSIR |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/04/2023 |
| Last Updated: | 08/04/2023 |
Provider Practice Location
1025 S 3RD ST STE B
RENTON
WA
980572765
Practice Location Phone/Fax
| Phone: | 2066246477 |
| Fax: |
Provider Mailing Location
PO BOX 3175
REDMOND
WA
980733175
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |