IndividualActive
Kimberley Gruening Mcnickle, LMHC
NPI 1295073039 · Mental Health Counselor · Fircrest, WA
Provider details
- NPI number
- 1295073039
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LMHC
- Sex
- Female
- Sole proprietor
- Yes
- License
- LH00006744 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
6512 20th Street Ct W
Suite B
Fircrest, WA 98466-6212
Phone: (253) 566-5559
Fax: (253) 565-0274
Approximate (ZIP-level) locationGet directions
Mailing address
6512 20th Street Ct W
Fircrest, WA 98466-6212
Registry dates
- Enumerated
- 2013-01-29
- Last updated
- 2013-01-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.