Kelli Michelle Dougal, MSW
Social Worker, Clinical in Vancouver, WA. Individual provider (NPI-1).
NPI number1730898685
StatusActive
Last updated in NPPESNov 21, 2022
Details
- NPI
- 1730898685
- Entity type
- Individual (NPI-1)
- Name
- Kelli Michelle Dougal
- Credential
- MSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 21, 2022
- Certification date
- Nov 1, 2022
- Last updated
- Nov 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
| 104100000X | Social Worker | – | – |
Other names
- Kelli Fielding (Other Name)
Practice location
2500 Ne 65th AveVancouver, WA 98661-6812
Phone 360-952-3644
Mailing address
712 Ne 138th PlVancouver, WA 98684-4604
Phone 360-921-4263
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