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Individual

KRYSTYL WYNE MIYAMOTO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHC, LICSWA

Contact information

Practice address
14 N GRADY LN, SPOKANE VALLEY, WA 99016-8610
(509) 609-6731
Mailing address
14 N GRADY LN, SPOKANE VALLEY, WA 99016-8610
(509) 609-6731

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LW70021024
WA
104100000X
Social Worker
Primary
SC60978657
WA

Other

Enumeration date
08/06/2019
Last updated
03/10/2026
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