Makaylah K Ely
Counselor in Centralia, WA. Individual provider (NPI-1).
NPI number1942071949
StatusActive
Last updated in NPPESJan 10, 2024
Details
- NPI
- 1942071949
- Entity type
- Individual (NPI-1)
- Name
- Makaylah K Ely
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 10, 2024
- Certification date
- Jan 10, 2024
- Last updated
- Jan 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | CG61520196 | WA | Yes |
Practice location
2428 W Reynolds AveCentralia, WA 98531-4554
Phone 360-330-9044 · Fax 360-237-5675
Mailing address
2428 W Reynolds AveCentralia, WA 98531-4554
Phone 360-330-9044 · Fax 360-237-5675
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