Gavin David Kisebach
Gavin David Kisebach is a Mental Health Counselor in Lacey, Washington. Licensed in Washington. Registered with an NPI since 2023.
- Licensed in
- WA
- In the registry since
- 2023
Practice location Address checks out
1034 Annette Ct SELacey, WA 98503-1824
Phone: (360) 791-5826
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X (WA) |
|---|
Record details
| NPI number | 1265210835 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 15, 2023 |
| Last updated in NPPES | September 15, 2023 |
| Certification date | September 15, 2023 |
| Mailing address | 1034 Annette Ct Se, Lacey, WA 98503-1824 |
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