Healthcare Provider Details

I. General information

NPI: 1558835157
Provider Name (Legal Business Name): JACQUELYNN KUHN COUNSELING & CONSULTING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2019
Last Update Date: 03/02/2026
Certification Date: 03/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6692 BLUE RIDGE WAY
DEER PARK WA
99006-5292
US

IV. Provider business mailing address

12522 N NINE MILE RD #113
NINE MILE FALLS WA
99026-9226
US

V. Phone/Fax

Practice location:
  • Phone: 509-309-4225
  • Fax: 509-381-3533
Mailing address:
  • Phone: 509-309-4225
  • Fax: 509-381-3533

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JACQUELYNN KUHN
Title or Position: LICENSED MENTAL HEALTH COUNSELOR
Credential: LMHC
Phone: 509-309-4225