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Individual

KATHRYN KONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LICSW, SUDP

Contact information

Practice address
15811 AMBAUM BLVD SW STE 110, BURIEN, WA 98166-3071
(206) 242-8211
Mailing address
15811 AMBAUM BLVD SW STE 110, BURIEN, WA 98166-3071
(206) 242-8211

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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