| Kevala Counseling, Llc | |
|
8613 Martin Way E Ste 201 Lacey WA 98516-5820 | |
| (360) 480-0027 | |
| (360) 634-3590 |
| Full Name | Kevala Counseling, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 8613 Martin Way E Ste 201, Lacey, Washington |
| Authorized Official Name and Position | Robert Charles Keller (OWNER) |
| Authorized Official Contact | 3604800027 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevala Counseling, Llc 4570 Avery Ln Se Ste C102 Lacey WA 98503-5608 Ph: (360) 480-0027 | Kevala Counseling, Llc 8613 Martin Way E Ste 201 Lacey WA 98516-5820 Ph: (360) 480-0027 |
| NPI Number | 1538852058 |
|---|---|
| Provider Enumeration Date | 05/31/2023 |
| Last Update Date | 05/31/2023 |
| Certification Date | 05/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538852058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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