Kimberly Barragan, SUDPT
Counselor in Shelton, WA. Individual provider (NPI-1).
NPI number1891362018
StatusActive
Last updated in NPPESJul 18, 2022
Details
- NPI
- 1891362018
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Barragan
- Credential
- SUDPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 7, 2021
- Certification date
- Jul 18, 2022
- Last updated
- Jul 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | CO61155500 | WA | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | CO61155500 | WA |
Practice location
506 W Franklin StShelton, WA 98584-3517
Phone 360-427-5232
Mailing address
Po Box 59Chehalis, WA 98532-0059
Phone 360-740-4380 · Fax 360-740-1877
Other practice locations
1956 Ne Kresky Ave
Chehalis, WA 98532-2307
Chehalis, WA 98532-2307
Phone 360-740-4380 · Fax 360-740-1877
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