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Individual

KELLY STRONK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SUDPT

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDPT.CO.70085887
WA
175T00000X
Peer Specialist
Primary
WA

Other

Enumeration date
02/13/2026
Last updated
07/27/2026
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