Individual
MS. GINA E SKINNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
2821 MISSION HILL RD, TULALIP, WA 98271-9706
(360) 716-4323
Mailing address
11 PRIEST POINT DR NE, TULALIP, WA 98271-7323
(206) 579-7510
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00002475
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00002475
—
WA
Enumeration date
08/04/2010
Last updated
08/04/2010
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