Individual
BERNADINE LEE KNUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDPT
Contact information
Practice address
235 S 3RD ST, SHELTON, WA 98584-2255
(360) 426-0890
(360) 426-4688
Mailing address
1936 S 1ST ST, SHELTON, WA 98584-2404
(360) 463-6998
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
60860203
WA
Other
Enumeration date
12/20/2018
Last updated
12/20/2018
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