Individual
KRISTIN NICOLE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDPT
Contact information
Practice address
200 LILLY RD NE STE C, OLYMPIA, WA 98506-5080
(360) 918-8336
(360) 972-2152
Mailing address
2708 WESTMOOR CT SW, OLYMPIA, WA 98502-5754
(360) 943-8810
(360) 943-0931
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2001305
—
WA
Enumeration date
06/22/2017
Last updated
06/16/2018
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