Individual
DEIJAH KANESHIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
618 W MARKET ST, ABERDEEN, WA 98520-6016
(360) 261-6931
Mailing address
PO BOX 1447, CHEHALIS, WA 98532-0378
(360) 999-7429
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/05/2021
Last updated
02/08/2021
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