Provider Demographics
NPI:1912610254
Name:BRIEF, KYLEN (LSWAIC)
Entity type:Individual
Prefix:
First Name:KYLEN
Middle Name:
Last Name:BRIEF
Suffix:
Gender:F
Credentials:LSWAIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 48033
Mailing Address - Street 2:
Mailing Address - City:BURIEN
Mailing Address - State:WA
Mailing Address - Zip Code:98148-0033
Mailing Address - Country:US
Mailing Address - Phone:425-276-1920
Mailing Address - Fax:
Practice Address - Street 1:9021 17TH AVE SW UNIT 203
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98106-2586
Practice Address - Country:US
Practice Address - Phone:425-276-1920
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-02
Last Update Date:2025-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASC613574341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical