Organization
INTEGRATIVE HEALTH ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATY KOUKOURAS ND, EAMP (NATUROPATHICPHYSICIAN/ACUPUNCTURIST)
(360) 863-2152
Entity
Organization
Contact information
Practice address
209 AVENUE D, SUITE 100B, SNOHOMISH, WA 98290
(360) 863-2152
Mailing address
611 AVENUE A, SNOHOMISH, WA 98290-2415
(360) 863-2152
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC60267372
WA
175F00000X
Naturopath
Primary
NT60264357
WA
Other
Enumeration date
01/07/2013
Last updated
10/25/2016
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