Individual
HAILUN ACHTELSTETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3629 S D ST, TACOMA, WA 98418-6813
(253) 649-1403
(253) 649-1381
Mailing address
3639 MARTIN LUTHER KING JR WAY S, SEATTLE, WA 98144-6847
(206) 805-8933
(206) 695-7606
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60455211
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261QR0405X
—
WA
01
—
CP60455211
SUDP
WA
Enumeration date
02/06/2014
Last updated
08/23/2022
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