Kelly C Wayenberg
NPI #1639897051 in Grandview, Washington
Provider Information
- NPI Number
- 1639897051
- Entity Type
- Individual
- Name
- Kelly C Wayenberg
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Aug 22, 2022
- Last Updated
- Aug 22, 2022
Practice Location
- Address
- 106 N ELM ST
- City
- Grandview
- State
- Washington
- ZIP Code
- 98930-1009
- Phone
- (509) 402-9090
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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