Individual
KRISTEN PRENTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, CDP
Contact information
Practice address
10001 17TH PL S, SEATTLE, WA 98168-1615
(206) 766-6960
Mailing address
18711 OCCIDENTAL AVE S, BURIEN, WA 98148-2051
(360) 440-7852
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60074450
WA
Other
Enumeration date
10/16/2012
Last updated
01/03/2019
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