Kelsey Rae Gravelle, SUDP LICSW

NPI #1952840944 in Longview, Washington

Provider Information

NPI Number
1952840944
Entity Type
Individual
Name
Kelsey Rae Gravelle, SUDP LICSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
SUDP LICSW
Enumeration Date
Feb 23, 2017
Last Updated
May 8, 2025

Practice Location

Address
900 FIR ST
ZIP Code
98632-2544
Phone
(360) 575-3316

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)
Social Worker - ClinicalClinical
Counselor

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