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NPI Code Detail

MEDICARE: CANDICE KINGREY MS

MEDICARE: CANDICE KINGREY MS
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 CounselorLH61018883WA

General Provider Information

NPI Number : 1992993364
Entity Type Code : Individual
Provider Name (Legal Business Name) : CANDICE KINGREY MS
Provider Business Mailing Address
First Line : 1307 S HAMILTON RD
Second Line :
City : MOSES LAKE
State : WA
Zip : 98837-9791
Country : US
Telephone Number : 360-949-5245
Fax Number :
Provider Business Practice Location Address
First Line : 605 S COOLIDGE ST
Second Line :
City : MOSES LAKE
State : WA
Zip : 98837-1873
Country : US
Telephone Number : 509-765-0674
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2007
Last Update Date : 05/01/2023

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Directions to “ CANDICE KINGREY MS” Practice Location

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