Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elicia Kellam

Individual provider Peer Specialist · NPI 1619708567

Elicia Kellam is a Peer Specialist in Lacey, Washington. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

670 Woodland Square Loop SE Ste 301
Lacey, WA 98503-1091
Phone: (360) 790-9109
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1619708567
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 12, 2024
Last updated in NPPESAugust 12, 2024
Certification dateAugust 12, 2024
Mailing address670 Woodland Square Loop Se Ste 301, Lacey, WA 98503-1091

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