Individual
KRISTINA MARIE GILLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED COUNSELOR
Contact information
Practice address
1227 2ND ST, MARYSVILLE, WA 98270-4906
(360) 651-2366
(360) 653-3119
Mailing address
1227 2ND ST, MARYSVILLE, WA 98270-4906
(360) 651-2366
(360) 653-3119
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RC00060088
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RC00060088
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
06/13/2008
Last updated
06/13/2008
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