Individual provider · Type 1 NPI

Elicia Kellam

Peer Specialist · Lacey, WA

NPI number 1619708567 Active

Practice location

670 Woodland Square Loop SE Ste 301
Lacey, WA 98503-1091

Call (360) 790-9109 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1619708567

Elicia Kellam's National Provider Identifier is 1619708567, issued on Aug 12, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Lacey, WA. The record was last updated on Aug 12, 2024.