Individual
KATHRYN MARIA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SUDP
Contact information
Practice address
12606 A ST S APT A2, TACOMA, WA 98444-5021
(509) 954-5748
Mailing address
12606 A ST S APT A2, TACOMA, WA 98444-5021
(509) 954-5748
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00002975
WA
Other
Enumeration date
01/25/2024
Last updated
01/25/2024
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