Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | CO60292962 | WA |
NPI | 1003165077 |
---|---|
Provider Name | Adrienne M Elkin |
First Address | Seattle, WA 98101-2831 |
Second Address | Seattle, WA 98101-2831 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/09/2012 |
Last Update Date | 05/09/2012 |