Individual
MS. KIMBERLY MICHELLE RIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
414 FRONT ST N, ISSAQUAH, WA 98027-2914
(425) 922-4524
(425) 968-2937
Mailing address
414 FRONT ST N, ISSAQUAH, WA 98027-2914
(425) 922-4524
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO60830151
WA
1041C0700X
Clinical Social Worker
Primary
SC60661602
WA
Other
Enumeration date
09/28/2018
Last updated
09/28/2018
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