Individual
MRS. KATHERINE MARY FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
17014 59TH AVE NE, ARLINGTON, WA 98223-4875
(360) 435-3985
(360) 435-7941
Mailing address
17014 59TH AVE NE, ARLINGTON, WA 98223-4875
(360) 435-3985
(360) 435-7941
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60271906
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CP60271906
—
WA
Enumeration date
08/08/2017
Last updated
07/21/2022
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