Individual
KAYTLIN DITZLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPSS
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
CG61546929
WA
175T00000X
Peer Specialist
Primary
PR70096570
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2285733
—
WA
Enumeration date
05/21/2024
Last updated
07/30/2026
Update your record
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