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Individual

KYNDRA NICOLE SCOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
824 W LEWIS ST STE 110, PASCO, WA 99301-5561
(509) 308-4389
Mailing address
824 W LEWIS ST STE 110, PASCO, WA 99301-5561
(509) 308-4389

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
00211-LC
NV
1041C0700X
Clinical Social Worker
8237-C
NV
1041C0700X
Clinical Social Worker
IC-1055
NV
1041C0700X
Clinical Social Worker
Primary
LW60988628
WA
225400000X
Rehabilitation Practitioner

Other

Enumeration date
09/03/2014
Last updated
04/25/2025
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