Kanine, Kandis June

Kanine, Kandis June is an individual health care provider with primary practice located at 2428 W Reynolds Ave , Centralia WA 98531-4554. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Kanine, Kandis June can be contacted via phone (360) 330-9044.

Contact Information

Primary practice address
2428 W Reynolds Ave Centralia WA 98531-4554
Phone: (360) 330-9044
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 6401004169 Michigan
Behavioral Health & Social Service Providers / Mental Health 101YM0800X CG60520790 Washington
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MC61036475 Washington

Profile Details

NPI number 1215994694
LBN Legal business name Kanine, Kandis June
Credentials LMHA, MHP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Feb 25th, 2022 - about 2 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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