Individual
MS. ELIZABETH RALEIGH DEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW, CDP
Contact information
Practice address
419 S 2ND ST, SUITE 2, RENTON, WA 98057-2017
(425) 203-7201
Mailing address
419 S 2ND ST, SUITE 2, RENTON, WA 98057-2017
(425) 203-7201
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP00006247
WA
1041C0700X
Clinical Social Worker
Primary
LW00009548
WA
Other
Enumeration date
03/20/2008
Last updated
04/23/2015
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