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Individual

KAILA MICHELLE EICHHORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BS, CDP

Contact information

Practice address
2400 BRISTOL CT SW, OLYMPIA, WA 98502-6004
(360) 357-2482
Mailing address
290 SE CURRIE WAY, SHELTON, WA 98584-7241
(360) 970-7400

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO 60557464
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP 60715026
WA

Other

Enumeration date
01/21/2016
Last updated
04/14/2017
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