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NPI Code Detail

MEDICARE: KAILA JEANNE EPPERLY

MEDICARE: KAILA JEANNE EPPERLY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorRC00059106WA

General Provider Information

NPI Number : 1033382882
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAILA JEANNE EPPERLY
Provider Business Mailing Address
First Line : 3321 W KENNEWICK AVE STE 150
Second Line :
City : KENNEWICK
State : WA
Zip : 99336-2968
Country : US
Telephone Number : 509-735-6446
Fax Number :
Provider Business Practice Location Address
First Line : 3321 W KENNEWICK AVE STE 150
Second Line :
City : KENNEWICK
State : WA
Zip : 99336-2968
Country : US
Telephone Number : 509-735-6446
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2008
Last Update Date : 01/07/2020

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Directions to “ KAILA JEANNE EPPERLY ” Practice Location

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