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NPI Code Detail

MEDICARE: MS. KELLY LYNN COMEAU

MEDICARE: MS. KELLY LYNN COMEAU
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselorWA

General Provider Information

NPI Number : 1043145261
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KELLY LYNN COMEAU
Provider Business Mailing Address
First Line : 5514 22ND AVE SE
Second Line :
City : LACEY
State : WA
Zip : 98503-2806
Country : US
Telephone Number : 360-789-3507
Fax Number :
Provider Business Practice Location Address
First Line : 402 YAUGER WAY SW
Second Line :
City : OLYMPIA
State : WA
Zip : 98502-8660
Country : US
Telephone Number : 360-878-8248
Fax Number : 360-489-0402
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2026
Last Update Date : 06/17/2026

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Directions to “ MS. KELLY LYNN COMEAU ” Practice Location

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