Individual
MRS. JOELLEN KENYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LMHCA
Contact information
Practice address
1900 NW DOCK PL STE 4, SEATTLE, WA 98107-4846
(425) 478-4276
Mailing address
1900 NW DOCK PL STE 4, SEATTLE, WA 98107-4846
(425) 478-4276
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
MC60588921
WA
Other
Enumeration date
10/01/2016
Last updated
10/01/2016
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