Individual
KYRILL GURTOVENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
SEATTLE CHILDREN'S HOSPITAL, 4800 SAND POINT WAY NE, MS OA.5.154, SEATTLE, WA 98105
(206) 987-2164
Mailing address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(206) 987-2164
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
61025362
WA
Other
Enumeration date
07/05/2019
Last updated
08/25/2020
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