Individual
KATRINA KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDP/T
Contact information
Practice address
661 TAYLOR ST, PORT ORCHARD, WA 98366-4300
(360) 337-4625
Mailing address
661 TAYLOR ST, PORT ORCHARD, WA 98366-4300
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
61411589
WA
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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