| Julie Kinn Llc | |
|
677 Woodland Square Loop Se Suite B 3 Lacey WA 98503-1000 | |
| (408) 641-5466 | |
| Not Available |
| Full Name | Julie Kinn Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 677 Woodland Square Loop Se, Lacey, Washington |
| Authorized Official Name and Position | Julie Kinn (OWNER) |
| Authorized Official Contact | 4086415466 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Julie Kinn Llc 2083 Lakemoor Dr Sw Olympia WA 98512-5565 Ph: (408) 641-5466 | Julie Kinn Llc 677 Woodland Square Loop Se Suite B 3 Lacey WA 98503-1000 Ph: (408) 641-5466 |
| NPI Number | 1285034439 |
|---|---|
| Provider Enumeration Date | 08/25/2014 |
| Last Update Date | 08/25/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285034439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | PY60112770 (Washington) | Primary |
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