Individual
KIMBERLY BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
15455 65TH AVE S, TUKWILA, WA 98188-2534
(206) 721-5170
Mailing address
PO BOX 2429, LONGVIEW, WA 98632-8486
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO 60302032
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60674505
WA
Other
Enumeration date
02/23/2016
Last updated
11/07/2016
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