Individual
KAMI ROSE DENISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CO 61010965
Contact information
Practice address
235 S 3RD ST, SHELTON, WA 98584-2255
(360) 463-7058
Mailing address
PO BOX 165, OAKVILLE, WA 98568-0165
(360) 463-7058
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
61010965
WA
Other
Enumeration date
04/03/2022
Last updated
07/26/2022
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