Individual provider · Type 1 NPI

Keli Marie Vasquez, AGENCY AFFILIATED CO

Counselor · Ilwaco, WA

NPI number 1043915556 Active

Practice location

152 1st Ave N
Ilwaco, WA 98624-9137

Mailing address

PO Box 177
Ocean Park, WA 98640-0177

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XCG61420119 (WA)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1043915556

Keli Marie Vasquez, AGENCY AFFILIATED CO's National Provider Identifier is 1043915556, issued on Apr 3, 2023. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Ilwaco, WA. The record was last updated on Jun 4, 2024.