Provider Demographics
NPI:1932374626
Name:KINLEY, EMILY K (MA, LMHC)
Entity Type:Individual
Prefix:MS
First Name:EMILY
Middle Name:K
Last Name:KINLEY
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1521 E ILLINOIS AVE STE 204
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99207-5147
Mailing Address - Country:US
Mailing Address - Phone:509-565-7005
Mailing Address - Fax:509-591-4947
Practice Address - Street 1:1521 E ILLINOIS AVE STE 204
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99207-5147
Practice Address - Country:US
Practice Address - Phone:509-565-7005
Practice Address - Fax:509-591-4947
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-24
Last Update Date:2020-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60123685101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health