Individual
MR. ANTHONY KAGOCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LMHCA, CDPT
Contact information
Practice address
9330 59TH AVE SW, LAKEWOOD, WA 98499-2858
(253) 620-5700
(253) 620-5789
Mailing address
9330 59TH AVE SW, LAKEWOOD, WA 98499-2858
(253) 620-5700
(253) 620-5789
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MC 60492047
WA
Other
Enumeration date
08/07/2015
Last updated
08/07/2015
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