Individual provider · Type 1 NPI

Gavin David Kisebach

Mental Health Counselor · Lacey, WA

NPI number 1265210835 Active

Practice location

1034 Annette Ct SE
Lacey, WA 98503-1824

Call (360) 791-5826 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

Other mental health counselor providers in Lacey

See all in Lacey →

About NPI 1265210835

Gavin David Kisebach's National Provider Identifier is 1265210835, issued on Sep 15, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lacey, WA. The record was last updated on Sep 15, 2023.