Individual
KENDA ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MC, MAC, CDP
Contact information
Practice address
1308 BOALCH AVE NW, NORTH BEND, WA 98045-8908
(425) 363-2020
(425) 831-5428
Mailing address
PO BOX 2371, NORTH BEND, WA 98045-2371
(425) 363-2020
(425) 831-5428
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00006317
WA
Other
Enumeration date
09/07/2016
Last updated
09/09/2016
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