Healthcare Provider Details
I. General information
NPI: 1831129733
Provider Name (Legal Business Name): K-J COUNSELING RESOURCES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/04/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
506 E 44TH AVE
KENNEWICK WA
99337-5822
US
IV. Provider business mailing address
506 E 44TH AVE
KENNEWICK WA
99337-5822
US
V. Phone/Fax
- Phone: 509-582-3766
- Fax:
- Phone: 509-582-3766
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103T00000X |
| Taxonomy | Psychologist |
| License Number | PY00002470 |
| License Number State | WA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | PY00002470 |
| License Number State | WA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TC1900X |
| Taxonomy | Counseling Psychologist |
| License Number | PY00002470 |
| License Number State | WA |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | RN00152836 |
| License Number State | WA |
VIII. Authorized Official
Name: DR.
BERT
KAE-JE'
Title or Position: DIRECTOR
Credential: PHD. PSYCHOLOGIST
Phone: 509-582-3766