Boren, Kevin Ray
Boren, Kevin Ray is an individual health care provider with primary practice located at 15455 65Th Ave S , Tukwila WA 98188. He 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 / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Boren, Kevin Ray can be contacted via phone (206) 721-5170.Contact Information
Primary practice address
15455 65Th Ave S
Tukwila WA 98188
Phone: (206) 721-5170
Fax: (206) 721-6288
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CP60714217 | Washington |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LH60728818 | Washington |
Profile Details
| NPI number | 1851725501 |
|---|---|
| LBN Legal business name | Boren, Kevin Ray |
| Credentials | LMHC, CDP, LPC, NCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2013 |
| Last updated | Jul 2nd, 2018 - about 8 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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