Healthcare Provider Details

I. General information

NPI: 1932841830
Provider Name (Legal Business Name): KALI LYNN DAHLKE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2022
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

884 W PARK AVE
PORT TOWNSEND WA
98368-2273
US

IV. Provider business mailing address

884 W PARK AVE
PORT TOWNSEND WA
98368-2273
US

V. Phone/Fax

Practice location:
  • Phone: 360-385-0321
  • Fax:
Mailing address:
  • Phone: 612-499-7212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberSWIA.SC.70101528
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number35846
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: