Kylie Casebolt, | |
505 Se Adams Ave, Chehalis, WA 98532-3031 | |
(360) 280-8116 | |
Not Available |
Full Name | Kylie Casebolt |
---|---|
Gender | Female |
Speciality | Psychologist - Addiction (substance Use Disorder) |
Location | 505 Se Adams Ave, Chehalis, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346967445 | NPI | - | NPPES |
000000000 | Other | WA | ABHS |
CO61277888 | Other | WA | NA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TA0400X | Psychologist - Addiction (substance Use Disorder) | CO61277888 (Washington) | Primary |
Mailing Address | Practice Location Address |
---|---|
Kylie Casebolt, 505 Se Adams Ave, Chehalis, WA 98532-3031 Ph: (360) 280-8116 | Kylie Casebolt, 505 Se Adams Ave, Chehalis, WA 98532-3031 Ph: (360) 280-8116 |
Dr. Richard T. Kennedy, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 57 W Main St, Chehalis, WA 98532 Phone: 360-740-8533 Fax: 360-740-8534 | |
Dr. Matthew Allen Johnson, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2451 Ne Kresky Ave Unit E, Chehalis, WA 98532 Phone: 360-262-4352 Fax: 360-450-3023 |