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Individual
KRISTEN LANDRESS
Active
Individual
KRISTEN LANDRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CL60959025
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CL60959025
DEPARTMENT OF HEALTH
WA
Enumeration date
07/02/2019
Last updated
07/02/2019
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