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Individual

MRS. KAMI MCKINZEY-BARTELMIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SUDP

Contact information

Practice address
21810 NE 37TH AVE, RIDGEFIELD, WA 98642-7747
(360) 989-4890
(360) 397-7477
Mailing address
PO BOX 1299, BATTLE GROUND, WA 98604-1299
(360) 989-4890
(360) 397-7477

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
BHA.FS.61070865
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP60145174
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2166178
WA
Enumeration date
01/15/2015
Last updated
11/04/2021
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