Individual
CHRISTINE LYNNE RECORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HCA, BA, SUDPT, NAR
Contact information
Practice address
1601 E 4TH PLAIN BLVD BLDG 17, VANCOUVER, WA 98661-3717
(360) 397-8246
Mailing address
PO BOX 1772, VANCOUVER, WA 98668-1772
(360) 852-0014
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61391660
WA
172V00000X
Community Health Worker
HM60390306
WA
Other
Enumeration date
05/08/2015
Last updated
01/03/2023
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