Individual
KRISTINE MCCLURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
506 N 40TH AVE STE 201, YAKIMA, WA 98908
(509) 494-8815
Mailing address
311 LAKESHORE DRIVE, SELAH, WA 98942
(509) 961-2496
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00000347
WA
Other
Enumeration date
02/10/2016
Last updated
08/09/2018
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