Individual provider · Type 1 NPI

Ivelisse Vallellanes Santiago, MA

Mental Health Counselor · Shelton, WA

NPI number 1215410550 Active

Practice location

627 W Franklin St
Shelton, WA 98584-3504

Call (360) 763-5610 Map

Fax (360) 462-0449

Mailing address

1650 Honeysuckle Ln SW Apt 22-304
Tumwater, WA 98512-6099

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1215410550

Ivelisse Vallellanes Santiago, MA's National Provider Identifier is 1215410550, issued on Sep 12, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shelton, WA. The record was last updated on Sep 12, 2018.