Individual
COLLEEN JOANNE KRAGNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, CDPII
Contact information
Practice address
14406 NE 20TH AVE, VANCOUVER, WA 98686-1448
(360) 571-3012
Mailing address
5508 NE DREXEL AVE, VANCOUVER, WA 98663-1460
(360) 699-5044
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00001703
WA
Other
Enumeration date
08/14/2006
Last updated
07/08/2007
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