Individual
KIMBERLY STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
4841 AUTO CENTER WAY STE 101, BREMERTON, WA 98312-4388
(360) 373-1529
Mailing address
4841 AUTO CENTER WAY STE 101, BREMERTON, WA 98312-4388
(360) 373-1529
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
60591308
WA
Other
Enumeration date
03/30/2017
Last updated
03/30/2017
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