Individual
MS. BETSI ELAINA SHARI THORNTON KUKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
2528 WHEATON WAY, STE 106, BREMERTON, WA 98310-3305
(360) 782-1933
Mailing address
PO BOX 425, BURLEY, WA 98322-0425
(360) 440-0476
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CD00006271
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101YA0400X
WASHINGTON STATE
WA
Enumeration date
03/23/2009
Last updated
03/23/2009
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