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Individual

KRISTIN LUELLA ANGLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SUDPT

Contact information

Practice address
120 S 3RD ST, YAKIMA, WA 98901-2875
(509) 571-7359
Mailing address
PO BOX 2849, YAKIMA, WA 98907-2849
(509) 571-7359

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
175T00000X
Peer Specialist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
91-0755984
WA
Enumeration date
02/16/2022
Last updated
08/31/2023
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