Individual
MS. KRISTEN LEE FUNK-TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
165 E HAWTHORNE AVE, COLVILLE, WA 99114-2629
(509) 684-4597
Mailing address
165 E HAWTHORNE AVE, COLVILLE, WA 99114-2629
(509) 684-4597
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
SA60894587
WA
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/28/2018
Last updated
04/06/2023
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