Barragan, Kimberly

Barragan, Kimberly is an individual health care provider with primary practice located at 506 W Franklin St , Shelton WA 98584-3517. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Barragan, Kimberly can be contacted via phone (360) 427-5232.

Contact Information

Primary practice address
506 W Franklin St Shelton WA 98584-3517
Phone: (360) 427-5232
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CO61155500 Washington
Behavioral Health & Social Service Providers / Counselor 101Y00000X CO61155500 Washington

Profile Details

NPI number 1891362018
LBN Legal business name Barragan, Kimberly
Credentials SUDPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2021
Last updated Jul 18th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891362018 NPPES
Washington MEDICAID 2178866

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