Kellie Ward, MS, LPC INTERN

NPI #1104408871 in Roseburg, Oregon

Provider Information

NPI Number: 1104408871
Entity Type: Individual
Name: Kellie Ward, MS, LPC INTERN
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: MS, LPC INTERN
Enumeration Date: Apr 22, 2021
Last Updated: Apr 22, 2021

Practice Location

Address: 272 NW MEDICAL LOOP STE
City: Roseburg
State: Oregon
ZIP Code: 97471-5597
Phone: (541) 900-4285

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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