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NPI Code Detail

MEDICARE: KELSEN CALDWELL

MEDICARE: KELSEN CALDWELL
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
1101YM0800XMental Health CounselorWA

General Provider Information

NPI Number : 1629928429
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELSEN CALDWELL
Provider Business Mailing Address
First Line : 13709 8TH AVE SW
Second Line :
City : BURIEN
State : WA
Zip : 98166-1203
Country : US
Telephone Number : 206-299-1925
Fax Number :
Provider Business Practice Location Address
First Line : 500 19TH AVE E
Second Line :
City : SEATTLE
State : WA
Zip : 98112-4007
Country : US
Telephone Number : 206-299-1925
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2026
Last Update Date : 01/30/2026

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Directions to “ KELSEN CALDWELL ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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