Individual provider · Type 1 NPI

Keli Jean Quillen

Mental Health Counselor · Puyallup, WA

NPI number 1790001477 Active

Practice location

325 E Pioneer Ave
Puyallup, WA 98372-3265

Fax (253) 697-8392

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1790001477

Keli Jean Quillen's National Provider Identifier is 1790001477, issued on Apr 20, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Puyallup, WA. The record was last updated on Apr 20, 2010.