person
Mr. Kimberly Louis Washburn, SUDPT
Addiction (Substance Use Disorder) Counselor in Sequim, Washington
NPI 1467124255

Kimberly Louis Washburn is an Addiction (Substance Use Disorder) Counselor based in Sequim, WA and is specialized in Addiction (Substance Use Disorder). Kimberly Louis Washburn practices in Sequim, WA and has the professional credentials of SUDPT. The NPI Number for Kimberly Louis Washburn is 1467124255 and holds a License No. CO61212381 (Washington).

The current practice location address for Kimberly Louis Washburn is 390 E Cedar St, Sequim, WA and can be reached out via phone at 360-681-8463 and via fax at 360-681-8465.

Location: 390 E Cedar St, Sequim, WA, 98382-5011
person
Provider Profile Details
NPI Number
1467124255
Provider Name
Kimberly Louis Washburn
Credential
SUDPT
Provider Entity Type
Individual
Gender
Male
Address
390 E Cedar St, Sequim, WA, 98382-5011
Phone Number
360-681-8463
Fax Number
360-681-8465
Provider Enumeration Date
09/30/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CO61212381 01 WA WA DOH
institution
Provider Business Practice Location Address Details
Address
390 E Cedar St
City
State
Zip
98382-3403
Phone Number
360-681-8463
Fax Number
360-681-8465
person
Provider Business Mailing Address Details
Address
390 E Cedar St
City
State
Zip
98382-3403
Phone Number
360-681-8463
Fax Number
360-681-8465
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CO61212381 (Washington)
Definition
Definition to come...
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