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Kelly C Wayenberg
Mental Health Counselor in Grandview, Washington
NPI 1639897051

Kelly C Wayenberg is a Mental Health Counselor based in Grandview, WA and is specialized in Mental Health. Kelly C Wayenberg practices in Grandview, WA. The NPI Number for Kelly C Wayenberg is 1639897051 and holds a License No. MHCA.MC.61350395 (Washington).

The current practice location address for Kelly C Wayenberg is 106 N Elm St, Grandview, WA and can be reached out via phone at 509-402-9090.

Location: 106 N Elm St, Grandview, WA, 98930-1009
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639897051
Provider Name
Kelly C Wayenberg
Credential
Provider Entity Type
Individual
Gender
Female
Address
106 N Elm St, Grandview, WA, 98930-1009
Phone Number
509-402-9090
Fax Number
Provider Enumeration Date
08/22/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
106 N Elm St
City
Grandview
State
Washington
Zip
98930-1009
Phone Number
509-402-9090
Fax Number
person
Provider Business Mailing Address Details
Address
106 N Elm St
City
Grandview
State
Washington
Zip
98930-1009
Phone Number
509-402-9090
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MHCA.MC.61350395 (Washington)
Definition
Definition to come...
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