Individual
PETER KIRKLAND SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CP00005495
Contact information
Practice address
17002 PACIFIC AVE S, SPANAWAY, WA 98387-8253
(253) 538-2323
Mailing address
4625 124TH AVENUE CT E, EDGEWOOD, WA 98372-9278
(252) 222-7330
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP0005495
WA
Other
Enumeration date
09/26/2018
Last updated
09/26/2018
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