| Kids Club Counseling Llc | |
|
107 S Main St Ste B203 Coupeville WA 98239-3562 | |
| (303) 319-2464 | |
| Not Available |
| Full Name | Kids Club Counseling Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 107 S Main St Ste B203, Coupeville, Washington |
| Authorized Official Name and Position | Jennifer Beth Kinsey (OWNER) |
| Authorized Official Contact | 3606724524 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Club Counseling Llc 107 S Main St Ste B203 Coupeville WA 98239-3562 Ph: (360) 672-4524 | Kids Club Counseling Llc 107 S Main St Ste B203 Coupeville WA 98239-3562 Ph: (303) 319-2464 |
| NPI Number | 1891541579 |
|---|---|
| Provider Enumeration Date | 04/24/2024 |
| Last Update Date | 09/04/2024 |
| Certification Date | 09/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891541579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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