Individual provider · Type 1 NPI

Kelley Jean Brusoe

Addiction (Substance Use Disorder) Counselor · Burien, WA

NPI number 1659846319 Active

Practice location

1210 SW 136th St
Burien, WA 98166-1214

Call (206) 257-6757 Map

Mailing address

3717 148th St SW Apt C101
Lynnwood, WA 98087-5537

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCO60571280 (WA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1659846319

Kelley Jean Brusoe's National Provider Identifier is 1659846319, issued on Oct 9, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Burien, WA. The record was last updated on Oct 9, 2018.