Individual
MS. KATHLEEN MARIE EVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDPT
Contact information
Practice address
1227 2ND ST, MARYSVILLE, WA 98270-4906
(360) 651-2366
Mailing address
211 76TH ST SE # 2, EVERETT, WA 98203-6347
(425) 710-9821
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RC00060318
WA
Other
Enumeration date
07/28/2008
Last updated
07/28/2008
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