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Individual

KRYSTINA PTASINSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CDP

Contact information

Practice address
600 N 36TH ST STE 415, SEATTLE, WA 98103-8699
(206) 395-9081
Mailing address
600 N 36TH ST STE 415, SEATTLE, WA 98103-8699
(206) 395-9081

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP60905969
WA
101YM0800X
Mental Health Counselor
LH6091224
WA
171M00000X
Case Manager/Care Coordinator
Primary
CO60650873
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CO60650873
STATE LICENSE
WA
Enumeration date
12/12/2017
Last updated
05/23/2022
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