Individual
SONIA CATHERINE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDP
Contact information
Practice address
514 AUBURN WAY N, AUBURN, WA 98002-4335
(253) 939-2211
(253) 939-2867
Mailing address
33438 1ST WAY S, FEDERAL WAY, WA 98003-6214
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60777107
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP60777107
STATE LICENSE
WA
Enumeration date
02/10/2020
Last updated
02/10/2020
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