Individual
CRAIG KALVIN WEBSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA, CDP
Contact information
Practice address
547 DAYTON ST, EDMONDS, WA 98020-3431
(425) 771-5166
Mailing address
28818 82ND ST SE, MONROE, WA 98272-9540
(360) 793-6740
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60169244
WA
Other
Enumeration date
05/02/2011
Last updated
05/02/2011
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