Keli Marie Vasquez, AGENCY AFFILIATED CO | |
152 1st Ave N, Ilwaco, WA 98624-9137 | |
(360) 214-0474 | |
Not Available |
Full Name | Keli Marie Vasquez |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 152 1st Ave N, Ilwaco, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043915556 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | CG61420119 (Washington) | Primary |
Mailing Address | Practice Location Address |
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Keli Marie Vasquez, AGENCY AFFILIATED CO Po Box 177, Ocean Park, WA 98640-0177 Ph: (360) 214-0474 | Keli Marie Vasquez, AGENCY AFFILIATED CO 152 1st Ave N, Ilwaco, WA 98624-9137 Ph: (360) 214-0474 |
Lacie Ranae Ranieri, Counselor Medicare: Not Enrolled in Medicare Practice Location: 404 School Rd, Ilwaco, WA 98624 Phone: 360-642-3731 | |
Tiffany Arden Bryce, MA, NBCC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 152 1st Ave N, Ilwaco, WA 98624 Phone: 360-261-6930 | |
Jessica Clark, Counselor Medicare: Not Enrolled in Medicare Practice Location: 152 First Ave N, Ilwaco, WA 98624 Phone: 503-960-5098 | |
Brent Lawrence Corvalan, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 152 1st Ave N, Ilwaco, WA 98624 Phone: 360-261-6930 |