Individual
IRIS SPRING SEPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SUDP
Contact information
Practice address
11000 LAKE CITY WAY NE, SEATTLE, WA 98125-6748
(206) 483-8124
Mailing address
8809 3RD AVE S BSMT APT, SEATTLE, WA 98108-4506
(425) 247-5579
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/13/2018
Last updated
01/30/2026
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