Individual
CORI LYNN RADDIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA, LCAS-A
Contact information
Practice address
26025 SE 192ND ST, MAPLE VALLEY, WA 98038-7900
(425) 437-5595
Mailing address
26025 SE 192ND ST, MAPLE VALLEY, WA 98038-7900
(425) 437-5595
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
23796
NC
1041C0700X
Clinical Social Worker
P012050
NC
1041C0700X
Clinical Social Worker
Primary
—
WA
Other
Enumeration date
01/16/2018
Last updated
01/10/2022
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