Individual
KANEESHA CHANELE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4808 NE 123RD ST, VANCOUVER, WA 98686-3370
(360) 789-7697
Mailing address
4808 NE 123RD ST, VANCOUVER, WA 98686-3370
(360) 789-7697
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW61402656
WA
Other
Enumeration date
02/10/2026
Last updated
02/10/2026
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