Individual ProviderKelly TemplerCounselorBehavioral Health & Social Service ProvidersPractice Address16715 Aurora Ave N, Shoreline, WA 98133-5310(206) 546-9766PECOS EnrollmentBased on the most recent information from CMS, provider Kelly Templer does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 12 days ago.Profile DetailsProvider ID1114471877Provider TypeIndividualFull NameTempler, KellyGenderFemaleSole ProprietorNoEnumeration Date8/11/2016Last Updated3/10/2023Contact InformationPractice LocationPractice Address16715 Aurora Ave N, Shoreline, WA 98133-5310Phone(206) 546-9766Fax(206) 542-0326Mailing LocationMailing Address16715 Aurora Ave N, Shoreline, WA 98133-5310Phone(206) 546-9766Fax(206) 542-0326Provider TaxonomiesCodeDescriptionLicenseCode101Y00000XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode104100000XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense6802089029Michigan