person
Kamimsa Josephine Goudy, SUDPT
Addiction (Substance Use Disorder) Counselor in Yakima, Washington
NPI 1538843818

Kamimsa Josephine Goudy is an Addiction (Substance Use Disorder) Counselor based in Yakima, WA and is specialized in Addiction (Substance Use Disorder). Kamimsa Josephine Goudy practices in Yakima, WA and has the professional credentials of SUDPT. The NPI Number for Kamimsa Josephine Goudy is 1538843818 and holds a License No. CO61438615 (Washington).

The current practice location address for Kamimsa Josephine Goudy is 120 S 3Rd St, Yakima, WA and can be reached out via phone at 509-248-1800. You can also correspond with Kamimsa Josephine Goudy through the mailing address at 1221 QUEEN AVE, YAKIMA, WA - 98902-5418 (mailing address contact number: 509-910-2848).

Location: 120 S 3Rd St, Yakima, WA, 98902-5418
person
Provider Profile Details
NPI Number
1538843818
Provider Name
Kamimsa Josephine Goudy
Credential
SUDPT
Provider Entity Type
Individual
Gender
Female
Address
120 S 3Rd St, Yakima, WA, 98902-5418
Phone Number
509-248-1800
Fax Number
Provider Enumeration Date
06/15/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
91-0755984 05 WA
institution
Provider Business Practice Location Address Details
Address
120 S 3Rd St
City
State
Zip
98901-2875
Phone Number
509-248-1800
Fax Number
person
Provider Business Mailing Address Details
Address
120 S 3Rd St
City
State
Zip
98901-2875
Phone Number
509-248-1800
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CO61438615 (Washington)
Definition
Definition to come...
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