Individual
ELIZABETH CRINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDP
Contact information
Practice address
138 S 1ST ST STE 6, MONTESANO, WA 98563-3623
(360) 964-4142
(360) 964-4143
Mailing address
138 S 1ST ST STE 6, MONTESANO, WA 98563-3623
(360) 964-4142
(360) 964-4143
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60494027
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP60494027
LICENSE NUMBER
WA
Enumeration date
04/06/2016
Last updated
10/19/2020
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