Individual
CANDICE KINGREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
605 S COOLIDGE ST, MOSES LAKE, WA 98837-1873
(509) 765-0674
Mailing address
1307 S HAMILTON RD, MOSES LAKE, WA 98837-9791
(360) 949-5245
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH61018883
WA
Other
Enumeration date
10/10/2007
Last updated
05/01/2023
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