Individual
KIMBERLY GINETTE CAVALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
955 OFFICERS ROW, VANCOUVER, WA 98661-3849
(503) 410-3149
Mailing address
955 OFFICERS ROW, VANCOUVER, WA 98661-3849
(503) 410-3149
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF60918392
WA
106H00000X
Marriage & Family Therapist
T2033
OR
Other
Enumeration date
10/02/2018
Last updated
06/21/2024
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