KELLY KNITTLE


Address: 4820 She-nah-num Dr. Se, Olympia, WA 98520
Phone: 3604132727

KELLY KNITTLE (NPI# 1164870267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164870267
Entity Type Individual
Full Name KELLY KNITTLE
Practice Address 4820 She-nah-num Dr. Se
Olympia
WA 98520
Mailing Address 4820 She Nah Num Dr Se
Olympia
WA 98513-9105
Practice Telephone 3604132727
Mailing Telephone 3604132727
Enumeration Date 2016-05-31
Last Update Date 2016-05-31
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
CP60523464 WA Behavioral Health & Social Service Providers

Office Location

Street Address 4820 SHE-NAH-NUM DR. SE
City OLYMPIA
State WA
Zip Code 98520

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1174032296 Amy D Tyler Peer Specialist 403 W State Street, Ste 206, Aberdeen, WA 98520 2017-09-20
1073032819 Amanda Leona Franklin Counselor 2700 Simpson Ave, Suite 101, Aberdeen, WA 98520 2017-09-13
1184141152 Chrystal Lynn Beckley Counselor 2700 Simpson Avenue Suite 101, Aberdeen, WA 98520 2017-08-29
1285158923 Josh Butler Technician/Technologist 1718 Sumner Ave, Aberdeen, WA 98520 2017-08-02
1386165553 Melvin Taylor Counselor 311 South I Street, Aberdeen, WA 98520 2017-06-28
1437570249 Aberdeen Therapy Works Occupational Therapist 100 S. I Street, Suite 205, Aberdeen, WA 98520 2013-12-20
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689291163 Rachel E Freer Counselor 3222 Friendly Grove Rd Ne, Olympia, WA 98506-2940 2020-06-30
1144854332 Lisa Lorraine Gaul Counselor 1905 4th Ave E Ste B, Olympia, WA 98506-4631 2020-02-26
1083244644 Audrey Jane Bengtson Counselor 3773 Martin Way E Ste 107, Olympia, WA 98506-4400 2020-01-23
1396385357 Cecilia Chavez Counselor 1820 Ashwood Downs Ln Se Apt 315, Olympia, WA 98501-7664 2020-01-08
1376055947 Ashleigh L Clark Counselor 11702 Yelm Hwy Se, Olympia, WA 98513-9109 2017-11-03
1225567415 Thierry Buckner Counselor 2400 Bristol Court Sw, Olympia, WA 98502 2017-06-09
1609301381 Petya Pacheva Counselor 2401 Bristol Ct Sw Ste D101, Olympia, WA 98502-6037 2017-05-01
1215380787 Alicia Rose Counselor 3773 Martin Way E Ste 105a, Olympia, WA 98506-5048 2016-07-19
1154770188 Amelia Sohler Counselor 5326 80th Ave Sw, Olympia, WA 98512-2358 2016-06-09
1093172066 Kaila Michelle Eichhorn Counselor 2400 Bristol Ct Sw, Olympia, WA 98502-6004 2016-01-21
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Competitor

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City OLYMPIA
Zip Code 98520

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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