Individual
MS. HOLLIE M CHRISTIANCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA,CDP
Contact information
Practice address
24823 PACIFIC HWY S, KENT, WA 98032-5478
(253) 681-0010
(253) 681-0014
Mailing address
24823 PACIFIC HWY S, KENT, WA 98032-5478
(253) 681-0010
(253) 681-0014
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP 00001079
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12345
DSHS
WA
Enumeration date
02/23/2012
Last updated
02/23/2012
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