Organization
KRISTI CONNER LICSW LLC
Active
Other names
Kristi Conner Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI M CONNER LICSW (OWNER)
(253) 345-1862
Entity
Organization
Contact information
Practice address
2209 N 30TH ST STE 1, TACOMA, WA 98403-3352
(253) 345-1862
(253) 736-0128
Mailing address
2209 N 30TH ST STE 1, TACOMA, WA 98403-3352
(253) 345-1862
(253) 736-0128
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
LW60225676
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790945194
—
WA
Enumeration date
03/08/2018
Last updated
03/08/2018
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