# CORE COUNSELING AND CONSULTATION

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

## Provider details

- **NPI number:** 1700484698
- **Authorized official:** MRS. KELLY PAULINE WOODWARD LMHC, MHP (MENTAL HEALTH THERAPIST)
- **Authorized official phone:** (509) 851-1678

## Contact information

- **Practice address:** 8350 W GRANDRIDGE BLVD STE 200, KENNEWICK, WA 99336-1678
- **Practice address phone:** (509) 851-1678
- **Practice address fax:** (509) 769-0905
- **Mailing address:** 7614 TEKOA DR, PASCO, WA 99301-7900
- **Mailing address phone:** (509) 851-1678
- **Mailing address fax:** (509) 769-0905

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 10/13/2020
- **Last updated:** 10/13/2020