Dennis Kish JR.

NPI #1073142550 in Olympia, Washington

Provider Information

NPI Number: 1073142550
Entity Type: Individual
Name: Dennis Kish JR.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Apr 6, 2020
Last Updated: Apr 27, 2021

Practice Location

Address: 6700 MARTIN WAY E STE 117
City: Olympia
State: Washington
ZIP Code: 98516-5586
Phone: (360) 413-6910

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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