Individual
KYLIE SHEY EMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5915 ORCHARD ST W, TACOMA, WA 98467-3824
(253) 414-7461
Mailing address
9330 59TH AVE SW, LAKEWOOD, WA 98499-2858
(253) 620-5015
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CO60952496
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP61175752
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/25/2019
Last updated
09/12/2024
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