Provider Demographics
NPI:1689231888
Name:HESS, KELSEY (LMHC)
Entity Type:Individual
Prefix:
First Name:KELSEY
Middle Name:
Last Name:HESS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2703 HOLMAN ST
Mailing Address - Street 2:
Mailing Address - City:BREMERTON
Mailing Address - State:WA
Mailing Address - Zip Code:98310-5121
Mailing Address - Country:US
Mailing Address - Phone:424-253-5739
Mailing Address - Fax:
Practice Address - Street 1:2703 HOLMAN ST
Practice Address - Street 2:
Practice Address - City:BREMERTON
Practice Address - State:WA
Practice Address - Zip Code:98310-5121
Practice Address - Country:US
Practice Address - Phone:424-253-5739
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-22
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC60925487101YM0800X
ORC6878101YP2500X
WALH61149049101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional