Basic Information
| Provider Information | |||||||||
| NPI: | 1235707290 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | KELSEY ANDERSON COUNSELING, PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 46361 | ||||||||
| Address2: | |||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981460361 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5096908028 | ||||||||
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| Practice Location | |||||||||
| Address1: | 522 WEST RIVERSIDE AVE | ||||||||
| Address2: | STE N | ||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 99201 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5096908028 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/16/2021 | ||||||||
| LastUpdateDate: | 07/09/2021 | ||||||||
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| AuthorizedOfficialLastName: | ANDERSON | ||||||||
| AuthorizedOfficialFirstName: | KELSEY | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 5096908028 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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| AuthorizedOfficialCredential: | LMFT | ||||||||
| NPICertificationDate: | 06/16/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QM0801X | Y | Ambulatory Health Care Facilities | Clinic/Center | Mental Health (Including Community Mental Health Center) |
No ID Information.