Individual
BRIAN O KIMMEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3417 EVANSTON AVE N STE 322, SEATTLE, WA 98103-8968
(425) 272-5585
Mailing address
3417 EVANSTON AVE N STE 322, SEATTLE, WA 98103-8968
(425) 272-5585
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LH60993754
WA
101YM0800X
Mental Health Counselor
Primary
LH60993754
WA
171400000X
Health & Wellness Coach
—
—
225600000X
Dance Therapist
—
—
Other
Enumeration date
10/04/2017
Last updated
09/24/2024
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