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Individual

MS. CHRISTINA KATHERINE TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SUDP

Contact information

Practice address
12330 NE 8TH ST STE 100, BELLEVUE, WA 98005-3187
(425) 747-7892
Mailing address
1412 140TH PL NE, BELLEVUE, WA 98007-3915

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1295264844
WA
Enumeration date
06/07/2017
Last updated
11/10/2021
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