Provider Demographics
NPI:1093203390
Name:DAY, KIMBERLY JOSEPHSON (LMHCA)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:JOSEPHSON
Last Name:DAY
Suffix:
Gender:
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1817 CENTERWOOD DR SE
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98501-3722
Mailing Address - Country:US
Mailing Address - Phone:509-366-3231
Mailing Address - Fax:
Practice Address - Street 1:1817 CENTERWOOD DR SE
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98501-3722
Practice Address - Country:US
Practice Address - Phone:509-366-3231
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-23
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC60822257101YM0800X
WALH61247688101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health