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Crystal Lee Kennemer
Peer Specialist in Lakewood, Washington
NPI 1578167136

Crystal Lee Kennemer is a Peer Specialist based in Lakewood, WA. Crystal Lee Kennemer practices in Lakewood, WA. The NPI Number for Crystal Lee Kennemer is 1578167136 and holds a License No. (Washington).

The current practice location address for Crystal Lee Kennemer is 9330 59Th Ave Sw, Lakewood, WA and can be reached out via phone at 253-620-5015 and via fax at 253-584-7852.

Location: 9330 59Th Ave Sw, Lakewood, WA, 98499-2858
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578167136
Provider Name
Crystal Lee Kennemer
Credential
Provider Entity Type
Individual
Gender
Female
Address
9330 59Th Ave Sw, Lakewood, WA, 98499-2858
Phone Number
253-620-5015
Fax Number
253-584-7852
Provider Enumeration Date
11/24/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9330 59Th Ave Sw
City
Lakewood
State
Washington
Zip
98499-2858
Phone Number
253-620-5015
Fax Number
253-584-7852
person
Provider Business Mailing Address Details
Address
9330 59Th Ave Sw
City
Lakewood
State
Washington
Zip
98499-2858
Phone Number
253-620-5015
Fax Number
253-584-7852
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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