Individual
CASEY KENYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
7465 S 112TH ST, SEATTLE, WA 98178-3102
(206) 651-4767
Mailing address
532 MEADOW DR SE, NORTH BEND, WA 98045-9419
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF00002202
WA
Other
Enumeration date
09/19/2007
Last updated
03/08/2011
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