Individual
MS. KRISTA J DUDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LMHC
Contact information
Practice address
4409 N 26TH, TACOMA, WA 98407
(253) 691-0250
(253) 752-6202
Mailing address
4409 N 26TH, TACOMA, WA 98407
(253) 691-0250
(253) 752-6202
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LH00004172
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60240483
UBI
WA
Enumeration date
01/30/2007
Last updated
07/08/2007
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