Individual
MS. KIERA RAE BLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4230 198TH ST SW, LYNNWOOD, WA 98036-6762
(425) 248-4900
Mailing address
23925 51ST AVE SE, WOODINVILLE, WA 98072-8613
(425) 381-3495
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61230166
WA
Other
Enumeration date
11/04/2021
Last updated
11/04/2021
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