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Individual

MRS. KESTRAL M ISBELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SUDPT

Contact information

Practice address
3460 SOUTH CEDAR ST SUITE M, TACOMA, WA 98409
(253) 478-0827
Mailing address
12514 306TH AVE E, BUCKLEY, WA 98321-9452
(360) 761-9763

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61125231

Other

Enumeration date
08/01/2022
Last updated
08/01/2022
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