Individual
KATHERINE R ROSENKRANZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDPT
Contact information
Practice address
11919 SPRAGUE AVE, AIRWAY HEIGHTS, WA 99001
(509) 244-6700
Mailing address
11919 SPRAGUE AVE, AIRWAY HEIGHTS, WA 99001
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60977558
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2077844
—
WA
Enumeration date
02/21/2020
Last updated
02/21/2020
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