Individual
MS. KATHRYN SUSANNE GALLOUPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW-CDP
Contact information
Practice address
1233 120TH AVE NE, SUITE D, BELLEVUE, WA 98005-2147
(425) 450-9301
(425) 450-9304
Mailing address
1233 120TH AVE NE, SUITE D, BELLEVUE, WA 98005-2147
(425) 450-9301
(425) 450-9304
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00002510
WA
1041C0700X
Clinical Social Worker
LW00009654
WA
Other
Enumeration date
08/05/2011
Last updated
08/05/2011
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