Provider Demographics
NPI:1366147290
Name:SHEKONI, KALIE (MED, LMHCA, LPC)
Entity type:Individual
Prefix:MRS
First Name:KALIE
Middle Name:
Last Name:SHEKONI
Suffix:
Gender:F
Credentials:MED, LMHCA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16617 143RD AVE SE
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98058-8545
Mailing Address - Country:US
Mailing Address - Phone:206-909-8643
Mailing Address - Fax:
Practice Address - Street 1:16617 143RD AVE SE
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98058-8545
Practice Address - Country:US
Practice Address - Phone:206-909-8643
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-31
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61403924101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor