Individual
KARLY KINGREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, MHP, LICSWA
Contact information
Practice address
145 S WORTHEN ST, WENATCHEE, WA 98801
(509) 664-7350
Mailing address
145 S WORTHEN ST, WENATCHEE, WA 98801-3081
(509) 664-7350
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LW61525514
WA
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2090876
—
WA
Enumeration date
05/21/2016
Last updated
09/10/2024
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