| Doctor Name: | MS. KATHERINE HELEN KELLEY |
| NPI Number: | 1194904458 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M. ED. |
| License Number: | LH00010922 |
| Business Practice Address: | 21 C St Sw Ephrata, WA - 988231841 |
| Business Phone Number: | 5097602046 |
| Business Fax Number: | |
| Mailing Address: | 21 C St Sw, EPHRATA |
| State: | WA |
| Postal Code: | 988231841 |
| Phone Number: | 5097602046 |
| Fax Number: | |
| NPI Enumeration Date: | 11/02/2007 |
| NPI Last Update Date: | 11/02/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LH00010922 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |