Individual
KATIE MARIE CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 E 4TH PLAIN BLVD BLDG 17, VANCOUVER, WA 98661-3717
(360) 558-5795
(360) 397-8494
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(253) 681-6603
(206) 764-8005
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO60713541
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP61160464
WA
Other
Enumeration date
07/27/2017
Last updated
05/23/2022
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