| NPI | 1952745168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH A. KIMMEL Psychoanalyst 206-447-1895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH 00004627) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF 00000927) |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2013-04-18 |