Individual
AUDREY KATHERINE GRETTIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, SUDP, CN, LMT
Contact information
Practice address
21907 64TH AVE W STE 200, MOUNTLAKE TERRACE, WA 98043-6200
(426) 640-7009
Mailing address
21907 64TH AVE W STE 200, MOUNTLAKE TERRACE, WA 98043-6200
(426) 640-7009
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP60904069
WA
101YM0800X
Mental Health Counselor
Primary
LH60992066
WA
133N00000X
Nutritionist
NU60792429
WA
225700000X
Massage Therapist
MA60504724
WA
Other
Enumeration date
05/02/2015
Last updated
11/27/2023
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