Individual
KRISTJANA REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1402 NE LAKE BLVD, ROCKAWAY BEACH, OR 97136-9303
(406) 679-2020
Mailing address
1402 NE LAKE BLVD, ROCKAWAY BEACH, OR 97136-9303
(406) 679-2020
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8941519-3501
UT
1041C0700X
Clinical Social Worker
8941519-3502
UT
Other
Enumeration date
07/30/2015
Last updated
02/17/2024
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