Individual
LANI RAE KEGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDP
Contact information
Practice address
8514 W GAGE BLVD STE G, KENNEWICK, WA 99336-8108
(509) 524-9903
(888) 745-2096
Mailing address
8514 W GAGE BLVD STE G, KENNEWICK, WA 99336-8108
(509) 524-9903
(888) 745-2096
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP61182508
WA
Other
Enumeration date
11/15/2022
Last updated
11/15/2022
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