Individual
CASSANDRA SHILLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
861 POPLAR PL S, SEATTLE, WA 98144-2827
(844) 987-9274
Mailing address
861 POPLAR PL S, SEATTLE, WA 98144-2827
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60609312
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006201
—
WA
Enumeration date
10/29/2018
Last updated
10/29/2018
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