JEREMY KUYKENDALL

YAKIMA, WA
NPI1639729890
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CO60946744)
Enumeration Date2019-09-18
Last Update Date2019-09-18
Business Address
JEREMY KUYKENDALL CDPT
201 E LINCOLN AVE STE 100
YAKIMA, WA 98901-2348
Phone number: 509-457-5653
Mailing Address
JEREMY KUYKENDALL CDPT
PO BOX 1207
YAKIMA, WA 98907-1207
Phone number: 509-457-5653