Individual
KATI KITTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDP
Contact information
Practice address
1007 KOALA DR, OMAK, WA 98841-9247
(509) 826-6191
(509) 826-3029
Mailing address
1007 KOALA DR, OMAK, WA 98841-9247
(509) 826-6191
(509) 826-3029
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60928252
WA
Other
Enumeration date
07/10/2017
Last updated
02/01/2024
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