Individual
KAMIMSA JOSEPHINE GOUDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDPT
Contact information
Practice address
402 S 4TH AVE, YAKIMA, WA 98902-3546
(509) 575-4084
Mailing address
1655 CAMPBELL RD, WAPATO, WA 98951-9558
(509) 910-2848
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDP.CP.70042901
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO61438615
WA
104100000X
Social Worker
Primary
SWIA.SC.70050873
WA
171M00000X
Case Manager/Care Coordinator
—
WA
Other
Enumeration date
06/15/2023
Last updated
06/12/2026
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