Individual
MR. KENNETH RAY PIMPLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, C-PA, BA, SUDP
Contact information
Practice address
2502 TACOMA AVE S, TACOMA, WA 98402-1310
(253) 759-0852
(253) 752-0514
Mailing address
8645 MARTIN WAY E, LACEY, WA 98516-5851
(360) 515-0070
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
00005512
WA
Other
Enumeration date
03/28/2012
Last updated
02/04/2022
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