Individual
KIAH SHIGETA-KOIZUMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 112TH AVE NE # 150W, BELLEVUE, WA 98004-2993
(800) 858-6702
Mailing address
1800 112TH AVE NE # 150W, BELLEVUE, WA 98004-2993
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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