| Lycan Counseling Pllc | |
|
750 Swift Blvd Ste 5 Richland WA 99352-3521 | |
| (509) 205-5559 | |
| Not Available |
| Full Name | Lycan Counseling Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 750 Swift Blvd Ste 5, Richland, Washington |
| Authorized Official Name and Position | Kimberly Lycan (OWNER) |
| Authorized Official Contact | 5092055559 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lycan Counseling Pllc 750 Swift Blvd Ste 5 Richland WA 99352-3521 Ph: (509) 205-5559 | Lycan Counseling Pllc 750 Swift Blvd Ste 5 Richland WA 99352-3521 Ph: (509) 205-5559 |
| NPI Number | 1477025047 |
|---|---|
| Provider Enumeration Date | 12/20/2018 |
| Last Update Date | 12/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477025047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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