Individual
KIMBERLY KAY OLATAWURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDPT
Contact information
Practice address
16715 AURORA AVE N STE 102, SHORELINE, WA 98133-5310
(206) 546-9766
(206) 542-0326
Mailing address
16715 AURORA AVE N STE 102, SHORELINE, WA 98133-5310
(206) 546-9766
(206) 542-0326
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
WA
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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