Individual
CAILIN MARIE SCHUPBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW, SUDP
Contact information
Practice address
1116 SUMMIT AVE, SEATTLE, WA 98101-2831
(253) 886-3897
(206) 542-0326
Mailing address
1214 N 173RD ST, SHORELINE, WA 98133-5458
(716) 982-5450
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP61159713
WA
104100000X
Social Worker
107116
NY
104100000X
Social Worker
LW61495395
WA
Other
Enumeration date
05/27/2020
Last updated
02/28/2025
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