Individual
KIMBERLY WOCKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDPT
Contact information
Practice address
201 E LINCOLN AVE STE 100, YAKIMA, WA 98901-2348
(509) 457-5653
Mailing address
PO BOX 1207, YAKIMA, WA 98907-1207
(509) 457-5653
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61432132
WA
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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