GAVIN KISEBACH
Counselor - Mental Health
Active
Individual
NPI: 1265210835
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Mental Health | 101YM0800X | Yes | - |
Frequently Asked Questions
NPI 1265210835 is the National Provider Identifier for GAVIN KISEBACH, a Counselor - Mental Health provider located in Lacey, WA. This NPI was enumerated on September 15, 2023.
GAVIN KISEBACH practices at 1034 ANNETTE CT SE, Lacey, WA 98503.
Quick Facts
- NPI
- 1265210835
- Type
- Individual
- Enumerated
- Sep 15, 2023
- Last Updated
- Sep 15, 2023
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