Individual
MR. KIMBERLY LOUIS WASHBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDPT
Contact information
Practice address
390 E CEDAR ST, SEQUIM, WA 98382-3403
(360) 681-8463
(360) 681-8465
Mailing address
PO BOX 3175, SEQUIM, WA 98382-5011
(360) 681-8463
(360) 681-8465
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61212381
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CO61212381
WA DOH
WA
Enumeration date
09/30/2021
Last updated
09/30/2021
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