Provider Demographics
NPI:1023232709
Name:HILL, KERRY FAYE (MA/LMHC)
Entity type:Individual
Prefix:
First Name:KERRY
Middle Name:FAYE
Last Name:HILL
Suffix:
Gender:F
Credentials:MA/LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4407 N DIVISION ST STE 801
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99207-1660
Mailing Address - Country:US
Mailing Address - Phone:509-228-8901
Mailing Address - Fax:509-228-8162
Practice Address - Street 1:4407 N DIVISION ST STE 801
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99207-1660
Practice Address - Country:US
Practice Address - Phone:509-228-8901
Practice Address - Fax:509-228-8162
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60281231101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health