Individual
CARLY ANN BLANKINSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDP
Contact information
Practice address
2610 WETMORE AVE, EVERETT, WA 98201-2927
(425) 258-5270
Mailing address
2610 WETMORE AVE, EVERETT, WA 98201-2927
(425) 258-5270
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP61475428
WA
Other
Enumeration date
10/03/2019
Last updated
02/22/2024
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