Individual
KRISTINE RISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW, SUDP
Contact information
Practice address
900 FIR ST, LONGVIEW, WA 98632-2544
(360) 353-9422
(360) 353-9440
Mailing address
PO BOX 2429, LONGVIEW, WA 98632-8486
(360) 353-9494
(360) 353-9440
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
SC61234578
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO60145336
WA
1041C0700X
Clinical Social Worker
LW61666844
WA
1041C0700X
Clinical Social Worker
Primary
SC61234578
WA
Other
Enumeration date
02/11/2013
Last updated
04/02/2025
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