NPI 1013403245

Kelli Jean Anderson

Practitioner Peer Specialist Vancouver, WA

Practice location

Address: 608 NE 122nd Ave, Vancouver, WA 98684-5826
Phone: (360) 609-0560

Registered specialties (2)

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Social Worker

Behavioral Health & Social Service Providers Taxonomy 104100000X

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Registry record

NPI: 1013403245
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Jul 2018
Record last updated: 14 Jan 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.