Doctor Name: | MRS. KELSEY N OZMENT |
NPI Number: | 1114269354 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHCA |
License Number: | MC60321329 |
Business Practice Address: | 16000 Bothell Everett Hwy Ste 285 Mill Creek, WA - 980121505 |
Business Phone Number: | 2533329188 |
Business Fax Number: | |
Mailing Address: | 5113 S 4th Ave # B, EVERETT |
State: | WA |
Postal Code: | 982034136 |
Phone Number: | 2533329188 |
Fax Number: | |
NPI Enumeration Date: | 03/26/2013 |
NPI Last Update Date: | 03/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | MC60321329 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |