Organization
CRESCENT WELLNESS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY DRUIN LICSW (PROVIDER)
(206) 486-0295
Entity
Organization
Contact information
Practice address
320 DAYTON ST STE 127, EDMONDS, WA 98020-3590
(206) 486-0295
Mailing address
320 DAYTON ST STE 127, EDMONDS, WA 98020-3590
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649586777
NPI
—
Enumeration date
10/23/2018
Last updated
05/22/2022
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