# KIDS CLUB COUNSELING LLC

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

## Provider details

- **NPI number:** 1891541579
- **Authorized official:** JENNIFER BETH KINSEY MA, LMFT (OWNER)
- **Authorized official phone:** (360) 672-4524

## Contact information

- **Practice address:** 107 S MAIN ST STE B203, COUPEVILLE, WA 98239-3562
- **Practice address phone:** (720) 588-4101
- **Mailing address:** 107 S MAIN ST STE B203, COUPEVILLE, WA 98239-3562
- **Mailing address phone:** (720) 588-4101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 04/24/2024
- **Last updated:** 11/18/2025