Provider Demographics
NPI:1184076648
Name:WARNICK, KIMBERLEY (LMHC)
Entity type:Individual
Prefix:
First Name:KIMBERLEY
Middle Name:
Last Name:WARNICK
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3318 BRIDGEPORT WAY W STE C
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY PLACE
Mailing Address - State:WA
Mailing Address - Zip Code:98466-7854
Mailing Address - Country:US
Mailing Address - Phone:206-801-0495
Mailing Address - Fax:
Practice Address - Street 1:3318 BRIDGEPORT WAY W STE C
Practice Address - Street 2:
Practice Address - City:UNIVERSITY PLACE
Practice Address - State:WA
Practice Address - Zip Code:98466-7854
Practice Address - Country:US
Practice Address - Phone:206-801-0495
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-08
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60647548101YM0800X
WALH61132078101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health