Individual provider · Type 1 NPI

Kristin Danielle Kucklick

Mental Health Counselor · Puyallup, WA

NPI number 1255700852 Active

Practice location

325 E Pioneer
Puyallup, WA 98372-3265

Fax (253) 697-3730

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1255700852

Kristin Danielle Kucklick's National Provider Identifier is 1255700852, issued on Sep 24, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Puyallup, WA. The record was last updated on Sep 24, 2015.