Individual
CHRISTY SHUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2150 FREEMAN RD E STE 1, FIFE, WA 98424-3776
(253) 922-7833
Mailing address
2701 N 16TH ST STE 316, PHOENIX, AZ 85006-1266
(602) 650-1212
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG60837682
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG60837682
CAAR
WA
Enumeration date
07/15/2020
Last updated
07/15/2020
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