Provider Demographics
NPI:1821403015
Name:KIMPEL, OKSANA P (MA, CDP, NCAC I)
Entity Type:Individual
Prefix:
First Name:OKSANA
Middle Name:P
Last Name:KIMPEL
Suffix:
Gender:F
Credentials:MA, CDP, NCAC I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19435 68TH AVE S
Mailing Address - Street 2:S-109
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98032-2102
Mailing Address - Country:US
Mailing Address - Phone:425-251-1933
Mailing Address - Fax:425-251-4996
Practice Address - Street 1:19435 68TH AVE S
Practice Address - Street 2:S-109
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98032-2102
Practice Address - Country:US
Practice Address - Phone:425-251-1933
Practice Address - Fax:425-251-4996
Is Sole Proprietor?:No
Enumeration Date:2014-06-25
Last Update Date:2015-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACP60334884101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)