Individual
CRISTY MARIE FAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CO61132873
Contact information
Practice address
604 98TH ST S APT A, TACOMA, WA 98444-5976
(360) 522-7570
Mailing address
515 3RD AVE, SEATTLE, WA 98104-2304
(360) 522-7570
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61132873
WA
Other
Enumeration date
02/06/2022
Last updated
06/20/2024
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