Kelsey, Suzanne

Kelsey, Suzanne is an individual health care provider with primary practice located at 1007 Koala Dr , Omak WA 98841-9247. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Kelsey, Suzanne can be contacted via phone (509) 826-6191.

Contact Information

Primary practice address
1007 Koala Dr Omak WA 98841-9247
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X Washington

Profile Details

NPI number 1033858931
LBN Legal business name Kelsey, Suzanne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2022
Last updated May 31st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033858931 NPPES
Washington MEDICAID 1090983

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