MS. Tara B Kelly

NPI #1073219515 in Spokane, Washington

Provider Information

NPI Number: 1073219515
Entity Type: Individual
Name: MS. Tara B Kelly
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Feb 6, 2023
Last Updated: Apr 25, 2023

Practice Location

Address: 2118 E SPRAGUE AVE
City: Spokane
State: Washington
ZIP Code: 99202-3125
Phone: (509) 838-4651

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Student in an Organized Health Care Education/Training Program	390200000X

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