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NPI 1831129733

NPI 1831129733 : K-J COUNSELING RESOURCES, INC. : KENNEWICK, WA

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General NPI Number Information
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    NPI Number           |    1831129733
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    Entity Type          |    Organization 
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    Legal Business Name  |    K-J COUNSELING RESOURCES, INC. 
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Dates
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    Enumeration Date     |    07/04/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    506 E 44TH AVE 
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    City                 |    KENNEWICK
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    State                |    WA
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    Zip                  |    99337-5822
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    Country              |    US
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    Telephone            |    509-582-3766
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    506 E 44TH AVE 
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    City                 |    KENNEWICK
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    State                |    WA
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    Zip                  |    99337-5822
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    Country              |    US
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    Telephone            |    509-582-3766
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |    DR. BERT  KAE-JE' 
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    Credential           |    PHD. PSYCHOLOGIST
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    Telephone            |    509-582-3766
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    PY00002470
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    License Number State |    WA
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Taxonomy #2
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    PY00002470
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    License Number State |    WA
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Taxonomy #3
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    Taxonomy Code        |    103TC1900X
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    Taxonomy Name        |    Counseling Psychologist
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    License Number       |    PY00002470
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    License Number State |    WA
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Taxonomy #4
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    Taxonomy Code        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    RN00152836
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    License Number State |    WA
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