Individual
KATHY DASTRUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
7511 CUSTER RD W, LAKEWOOD, WA 98499
(253) 507-8367
(253) 625-7613
Mailing address
7511 CUSTER RD W, LAKEWOOD, WA 98499
(253) 507-8367
(253) 625-7613
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00003652
WA
Other
Enumeration date
09/09/2013
Last updated
02/17/2014
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