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Organization
KYWINA M HENDERSON PROFESSIONAL ADVANCED PRACTICE NURSING CORPORAT
Active
Organization
KYWINA M HENDERSON PROFESSIONAL ADVANCED PRACTICE NURSING CORPORAT
Active
Other names
All Kynd Behavioral Health & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
KYWINA MARIE HENDERSON RN, PMHNP (OWNER CEO PMHNP)
(909) 788-4638
Entity
Organization
Contact information
Practice address
1112 DANIELS ST STE 10, VANCOUVER, WA 98660-3063
(818) 305-6061
Mailing address
1112 DANIELS ST STE 10, VANCOUVER, WA 98660-3063
(425) 728-2721
(425) 490-6547
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/22/2023
Last updated
10/21/2024
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