Provider Demographics
NPI:1316379977
Name:ANDERSON, KELSEY IRISH (LMFT)
Entity Type:Individual
Prefix:
First Name:KELSEY
Middle Name:IRISH
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 46361
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98146-0361
Mailing Address - Country:US
Mailing Address - Phone:509-690-8028
Mailing Address - Fax:
Practice Address - Street 1:522 WEST RIVERSIDE AVE
Practice Address - Street 2:STE N
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201
Practice Address - Country:US
Practice Address - Phone:509-690-8028
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-06
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health