| Doctor Name: | JESSICA ELLEN KELL |
| NPI Number: | 1457609711 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A LPC NCC |
| License Number: | PCOP745 |
| Business Practice Address: | 214 E Fender Rd Colbert, WA - 990059610 |
| Business Phone Number: | 9072689711 |
| Business Fax Number: | |
| Mailing Address: | 214 E Fender Rd, COLBERT |
| State: | WA |
| Postal Code: | 990059610 |
| Phone Number: | 9072689711 |
| Fax Number: | |
| NPI Enumeration Date: | 08/16/2012 |
| NPI Last Update Date: | 08/16/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | PCOP745 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |