Provider Demographics
NPI:1205270592
Name:SHERWOOD, KYMBERLI (LMHC, ATR)
Entity type:Individual
Prefix:
First Name:KYMBERLI
Middle Name:
Last Name:SHERWOOD
Suffix:
Gender:F
Credentials:LMHC, ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8416 SE FRANCES AVE
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98664-2723
Mailing Address - Country:US
Mailing Address - Phone:215-872-0598
Mailing Address - Fax:
Practice Address - Street 1:802 OFFICERS ROW STE C
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98661-3848
Practice Address - Country:US
Practice Address - Phone:360-358-2244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-17
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60629846101YM0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health