Individual
CARLY ANN CHRISTIANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
9600 VETERANS DR SW, TACOMA, WA 98493-0001
(253) 583-1631
Mailing address
9600 VETERANS DR, TACOMA, WA 98493-0001
(253) 583-1631
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP60249087
WA
1041C0700X
Clinical Social Worker
Primary
Q1-0001495
DE
Other
Enumeration date
06/01/2012
Last updated
11/03/2016
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