Individual
KATHRYN KONG
Active
Individual
KATHRYN KONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW, SUDP
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
SC61068036
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
LW61510155
WA
390200000X
Student in an Organized Health Care Education/Training Program
CO61043208
WA
Other
Enumeration date
09/24/2014
Last updated
07/31/2024
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