Individual
KENYA WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
21324 W GIST RD, HASKELL, OK 74436-2565
(918) 409-0815
(866) 304-6871
Mailing address
21324 W GIST RD, HASKELL, OK 74436-2565
(918) 409-0815
(866) 304-6871
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
4768
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200268490A
—
OK
Enumeration date
05/28/2010
Last updated
05/01/2026
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