Individual
KAYSHA RENAE LAUTENSCHLAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
915 NE VALLEY RD, PULLMAN, WA 99163-3845
(509) 332-3548
Mailing address
915 NE VALLEY RD, PULLMAN, WA 99163-3845
(509) 332-3548
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG60978305
WA
104100000X
Social Worker
Primary
LW61380817
WA
1041C0700X
Clinical Social Worker
Primary
LW61380817
WA
390200000X
Student in an Organized Health Care Education/Training Program
CG60978305
WA
390200000X
Student in an Organized Health Care Education/Training Program
NC60455152
WA
Other
Enumeration date
06/25/2019
Last updated
05/07/2026
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