Individual provider · Type 1 NPI

Kimberly Tyshel Hanson, LMHC

Mental Health Counselor · Index, WA

NPI number 1720868276 Active

Practice location

616 Avenue A
Index, WA 98256

Mailing address

PO Box 267
Index, WA 98256-0267

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X60500442 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1720868276

Kimberly Tyshel Hanson, LMHC's National Provider Identifier is 1720868276, issued on Oct 3, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Index, WA. The record was last updated on Oct 3, 2023.