Individual
MRS. BRANDI NICOLE KITCHEN-LOEWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDPT
Contact information
Practice address
4928 109TH ST SW, LAKEWOOD, WA 98499-3731
(253) 473-7474
(253) 474-9724
Mailing address
1807 197TH STREET CT E, SPANAWAY, WA 98387-8056
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO6079690
WA
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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