Healthcare Provider Details

I. General information

NPI: 1982223046
Provider Name (Legal Business Name): CELISHA JOY KUHLMANN LMHC, SUPDT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2020
Last Update Date: 02/11/2025
Certification Date: 02/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

707 N PEARL ST
ELLENSBURG WA
98926-2938
US

IV. Provider business mailing address

PO BOX 208
ROSLYN WA
98941-0208
US

V. Phone/Fax

Practice location:
  • Phone: 509-925-9861
  • Fax:
Mailing address:
  • Phone: 800-658-0569
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCO61006251
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMC60853726
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: