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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GAVIN DAVID KISEBACH

Active

GAVIN DAVID KISEBACH is a Mental Health Counselor healthcare provider located in LACEY, Washington. NPI 1265210835 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · LACEY, WA

Registration Details

NPI Number
1265210835
Provider Type
Individual
Gender
Male
NPI Issued
Sep 15, 2023 (2.8875572214311 yrs)
Last Updated
Sep 15, 2023

Practice Information

Address
1034 ANNETTE CT SE
LACEY, WA, 985031824
Browse WA providers · Browse ZIP 98503
Phone
3607915826
Primary Specialty
Mental Health Counselor
101YM0800X

Other Mental Health Counselor Providers in LACEY, WA

Name Credential NPI
AMY LENNON RIGGIO 1669566600
MS. VICTORIA LYNN DAVIS LCSW 1851463095
MS. MIMI L SILVER LCSW 1427120328
KARYN LAWS LMHC 1497813497
MS. CLAUDIA DAVID 1174681597
MR. RANDY MARSTON L.M.H.C. 1578616108
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.