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Kenneth King
Peer Specialist in Puyallup, Washington
NPI 1700466232

Kenneth King is a Peer Specialist based in Phoenix, WA. Kenneth King practices in Puyallup, WA. The NPI Number for Kenneth King is 1700466232 and holds a License No. CG61138660 (Washington).

The current practice location address for Kenneth King is 800 S Meridian Ste A&B, Puyallup, WA and can be reached out via phone at 253-942-5644.

Location: 800 S Meridian Ste A&B, Puyallup, WA, 85006-1266
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700466232
Provider Name
Kenneth King
Credential
Provider Entity Type
Individual
Gender
Male
Address
800 S Meridian Ste A&B, Puyallup, WA, 85006-1266
Phone Number
253-942-5644
Fax Number
Provider Enumeration Date
04/09/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
800 S Meridian Ste A&B
City
Puyallup
State
Washington
Zip
98371-6995
Phone Number
253-942-5644
Fax Number
person
Provider Business Mailing Address Details
Address
800 S Meridian Ste A&B
City
Puyallup
State
Washington
Zip
98371-6995
Phone Number
253-942-5644
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
CG61138660 (Washington)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
CG61138660 (Washington)
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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