Provider Demographics
NPI:1376843664
Name:SIMPSON, KENDRA ROSE (MED, MHP, LMHC)
Entity Type:Individual
Prefix:
First Name:KENDRA
Middle Name:ROSE
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:MED, MHP, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:723 THE PKWY # 11
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-4259
Mailing Address - Country:US
Mailing Address - Phone:509-214-2867
Mailing Address - Fax:888-519-6068
Practice Address - Street 1:723 THE PKWY # 11
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-4259
Practice Address - Country:US
Practice Address - Phone:509-214-2867
Practice Address - Fax:888-519-6068
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-02
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health