Individual
KATHLEEN JOY WIDDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
2732 GRAND AVE, EVERETT, WA 98201-3416
(425) 259-5842
(425) 259-0248
Mailing address
2732 GRAND AVE, EVERETT, WA 98201-3416
(425) 259-5842
(425) 259-0248
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP 60450937
WA
Other
Enumeration date
03/18/2016
Last updated
03/18/2016
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