Most Relevant Information
Provider Data
| NPI Number: | 1003327867 |
| Provider Name: | KAITLYN JINDRA AAC |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: | CB60813620 |
Most Important Dates
| Enumeration Date: | 10/19/2017 |
| Last Updated: | 07/14/2022 |
Provider Practice Location
10505 W CLEARWATER AVE
KENNEWICK
WA
993368613
Practice Location Phone/Fax
| Phone: | 5093785553 |
| Fax: | 5095794088 |
Provider Mailing Location
10505 W CLEARWATER AVE
KENNEWICK
WA
993368613
Provider Mailing Phone/Fax
| Phone: | 5093785553 |
| Fax: | 5095794088 |