Individual
AMANDA JILL CHRISTENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
445 SW 152ND ST, BURIEN, WA 98166-2208
(206) 242-4084
Mailing address
445 SW 152ND ST, BURIEN, WA 98166-2208
(206) 242-4084
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17158700
WA
Other
Enumeration date
12/21/2012
Last updated
12/21/2012
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