MEDICARE: KIMBERLY S CADWALLADER LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1306101530
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY S CADWALLADER LMHC

Provider Business Mailing Address
First Line	:	2330 EASTGATE ST
Second Line	:	STE 201
City	:	WALLA WALLA
State	:	WA
Zip	:	99362-2557
Country	:	US
Telephone Number	:	509-593-9667
Fax Number	:

Provider Business Practice Location Address
First Line	:	2330 EASTGATE ST
Second Line	:	STE 201
City	:	WALLA WALLA
State	:	WA
Zip	:	99362-2557
Country	:	US
Telephone Number	:	509-593-9667
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2012
Last Update Date	:	10/28/2017

Similar Medicare Providers

1962575084 — MS. DEBRA PATTON ROOD MSW, LICSW
Practice Location Address:

2330 EASTGATE ST, NORTH , STE 205
WALLA WALLA, WA
99362-2557

Practice Phone: 509-301-7252
Practice Fax: 509-522-2330

1992283261 — BRANDON CROFT HA
Practice Location Address:

2330 EASTGATE ST
WALLA WALLA, WA
99362-2557

Practice Phone: 509-529-2693
Practice Fax:

1114350154 — CHRISTINA R JOHANSON MPT
Practice Location Address:

1025 S 2ND AVE
WALLA WALLA, WA
99362-4116

Practice Phone: 509-897-2100
Practice Fax: 509-897-5752

1336586569 — MRS. AUDREY BROOKE SCHMID M.S., CCC-SLP
Practice Location Address:

1025 S 2ND AVE
WALLA WALLA, WA
99362-4116

Practice Phone: 509-897-2100
Practice Fax: 509-897-5752

1326574005 — RUTH PULA GEROLA M.D.
Practice Location Address:

380 CHASE AVE
WALLA WALLA, WA
99362-2924

Practice Phone: 509-897-3790
Practice Fax: 509-897-5558

1275479073 — FUTSUN LYTH
Practice Location Address:

103 E MAIN ST STE 201
WALLA WALLA, WA
99362-1900

Practice Phone: 509-301-3270
Practice Fax: 509-231-7219

Directions to “ KIMBERLY S CADWALLADER LMHC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.