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Individual

CHRISTINA M YSAGUIRRE-BOERSMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BA

Contact information

Practice address
4455 CORDATA PKWY, BELLINGHAM, WA 98226-8037
(360) 734-5458
(360) 734-5298
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(206) 764-0112
(206) 764-0489

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00000782
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1993567
WA
Enumeration date
01/26/2007
Last updated
07/08/2007
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