Individual
KATRINA BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDP
Contact information
Practice address
7440 W MARGINAL WAY S, SEATTLE, WA 98108-4141
(509) 710-8518
Mailing address
4021 E 16TH AVE, SPOKANE, WA 99223-5252
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
00004275
WA
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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