Individual
MS. CHRISTINE TUPPER CALDWELL
Active
Individual
MS. CHRISTINE TUPPER CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, CDP
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP 00001326
WA
1041C0700X
Clinical Social Worker
Primary
LW 60085787
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
603-133-355
UBI
WA
Enumeration date
11/21/2011
Last updated
11/21/2011
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