Kelcee Nikole Bristol
NPI #1508525213 in Long Beach, Washington
Provider Information
- NPI Number
- 1508525213
- Entity Type
- Individual
- Name
- Kelcee Nikole Bristol
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Peer Specialist
- Enumeration Date
- Dec 9, 2021
- Last Updated
- Aug 11, 2022
Practice Location
- Address
- 2204 PACIFIC AVE N
- City
- Long Beach
- State
- Washington
- ZIP Code
- 98631-3300
- Phone
- (360) 642-3787
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
| Peer Specialist |
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