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Christyn Don Modica
Counselor in Fife, Washington
NPI 1760019566

Christyn Don Modica is a Counselor based in Port Orchard, WA. Christyn Don Modica practices in Fife, WA. The NPI Number for Christyn Don Modica is 1760019566 and holds a License No. CG61019299 (Washington).

The current practice location address for Christyn Don Modica is 4210 20Th St E Ste B&C, Fife, WA and can be reached out via phone at 253-235-5216.

Location: 4210 20Th St E Ste B&C, Fife, WA, 98367-9321
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760019566
Provider Name
Christyn Don Modica
Credential
Provider Entity Type
Individual
Gender
Female
Address
4210 20Th St E Ste B&C, Fife, WA, 98367-9321
Phone Number
253-235-5216
Fax Number
Provider Enumeration Date
03/24/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CG61019299 01 WA COUNSELOR AGENCY AFFILIATED REGISTRATION
institution
Provider Business Practice Location Address Details
Address
4210 20Th St E Ste B&C
City
Fife
State
Washington
Zip
98424-1830
Phone Number
253-235-5216
Fax Number
person
Provider Business Mailing Address Details
Address
4210 20Th St E Ste B&C
City
Fife
State
Washington
Zip
98424-1830
Phone Number
253-235-5216
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
CP60771150 (Washington)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
CG61019299 (Washington)
Definition
Definition to come...
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