Individual
DENNIS KISH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6700 MARTIN WAY E STE 117, OLYMPIA, WA 98516-5586
(360) 413-6910
Mailing address
6700 MARTIN WAY E STE 117, OLYMPIA, WA 98516-5586
(360) 413-6910
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
CO65015390
WA
Other
Enumeration date
04/06/2020
Last updated
04/27/2021
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