Individual
KRISTIN SARA MACKINNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1231 116TH AVE NE STE 400, BELLEVUE, WA 98004-3804
(425) 289-3100
Mailing address
1231 116TH AVE NE STE 400, BELLEVUE, WA 98004-3804
(425) 289-3100
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
35323
CA
1041C0700X
Clinical Social Worker
Primary
LW60675085
WA
Other
Enumeration date
08/14/2013
Last updated
08/28/2023
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