Provider Demographics
NPI:1346477551
Name:FURRY, KAYLIN JEANNE (MA ED, LMHC)
Entity Type:Individual
Prefix:MS
First Name:KAYLIN
Middle Name:JEANNE
Last Name:FURRY
Suffix:
Gender:F
Credentials:MA ED, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1604 CENTRAL ST NE
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98506-3454
Mailing Address - Country:US
Mailing Address - Phone:360-292-2775
Mailing Address - Fax:
Practice Address - Street 1:203 4TH AVE E STE 411
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98501-1189
Practice Address - Country:US
Practice Address - Phone:360-292-2775
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-15
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60045072101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health