Individual
KELLY KRISTIN MAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDPT
Contact information
Practice address
400 WARREN AVE STE 200, BREMERTON, WA 98337-1467
(360) 478-2366
Mailing address
PO BOX 960, BREMERTON, WA 98337-0212
(360) 440-4639
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61334043
WA
Other
Enumeration date
11/16/2022
Last updated
11/16/2022
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