# MS. KISSIE SHANTA WASHINGTON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1306294707
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | MI | — |
| 247200000X | Other Technician | — | MI | — |
| 385HR2055X | Child Mental Illness Respite Care | — | MI | — |
| 385HR2055X | Child Mental Illness Respite Care | — | OH | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | MI | Yes |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | OH | — |
| 385HR2065X | Child Physical Disabilities Respite Care | — | MI | — |
| 385HR2065X | Child Physical Disabilities Respite Care | — | OH | — |

## Other

- **Enumeration date:** 05/26/2016
- **Last updated:** 09/29/2026