| Canyon Lakes Family Counseling | |
|
110 W 34th Ave Kennewick WA 99337-8211 | |
| (509) 795-1944 | |
| Not Available |
| Full Name | Canyon Lakes Family Counseling |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 110 W 34th Ave, Kennewick, Washington |
| Authorized Official Name and Position | Lynn Owens (OWNER) |
| Authorized Official Contact | 5097951944 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canyon Lakes Family Counseling 625 E Twiggs St Ste 1000 Pmb 91825 Tampa FL 33602-3931 Ph: () - | Canyon Lakes Family Counseling 110 W 34th Ave Kennewick WA 99337-8211 Ph: (509) 795-1944 |
| NPI Number | 1689302606 |
|---|---|
| Provider Enumeration Date | 08/09/2022 |
| Last Update Date | 08/09/2022 |
| Certification Date | 08/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689302606 | NPI | - | NPPES |
| 2039983 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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