Individual
LINA ANDROMEDA KURLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
105 S APPLE BLOSSOM DR, CHELAN, WA 98816-8810
(509) 682-6000
Mailing address
600 ORONDO AVE STE 1, WENATCHEE, WA 98801-2800
(509) 662-6000
(509) 664-4590
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
MC60950807
WA
101YM0800X
Mental Health Counselor
MC60950807
WA
103TC0700X
Clinical Psychologist
Primary
PY61069944
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2134562
—
WA
Enumeration date
08/01/2016
Last updated
01/15/2021
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