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Contact Information

KYLIE CASEBOLT
505 SE ADAMS AVE
CHEHALIS, WA98532-3031
 Phone: 360-280-8116
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for KYLIE CASEBOLT · (Female)

NPI # 1346967445
Status Active
Credentials
Entity Individual
Enumeration date 10/20/2022
Last updated 10/20/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • WA License # CO61277888
  • WA Other 000000000 ABHS
  • WA Other CO61277888 NA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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