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Individual
KAREN S BONTRAGER
Active
Individual
KAREN S BONTRAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO60719719
WA
101YM0800X
Mental Health Counselor
Primary
MC60803268
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MC60803268
STATE DOH
WA
Enumeration date
03/01/2018
Last updated
03/01/2018
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