Individual
DENNIS KISH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
503 E 26TH ST, TACOMA, WA 98421-1343
(253) 881-7001
Mailing address
503 E 26TH ST, TACOMA, WA 98421-1343
(253) 881-7001
(253) 881-7002
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
CO65015390
WA
Other
Enumeration date
04/06/2020
Last updated
05/18/2026
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