# KEY PENINSULA COUNSELING CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073996278
- **Authorized official:** CHAD HUNTER BEAVER LMFT (OWNER/THERAPIST)
- **Authorized official phone:** (253) 884-3644

## Contact information

- **Practice address:** 8903 KEY PENINSULA HWY N, LAKEBAY, WA 98349-9326
- **Practice address phone:** (253) 884-3644
- **Practice address fax:** (253) 884-2632
- **Mailing address:** 8903 KEY PENINSULA HWY N, LAKEBAY, WA 98349-9326
- **Mailing address phone:** (253) 884-3644
- **Mailing address fax:** (253) 884-2632

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | LH60544428 | WA | — |
| 106H00000X | Marriage & Family Therapist | LF60268040 | WA | Yes |

## Other

- **Enumeration date:** 07/07/2015
- **Last updated:** 07/07/2015