Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor | CL 60161867 | WA |
NPI | 1003359019 |
---|---|
Provider Name | Catherine Keir |
First Address | Seattle, WA 98122-2467 |
Second Address | Seattle, WA 98122-2467 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2016 |
Last Update Date | 22/11/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
CL 60161867 | COUNSELOR CERTIFIED WASHINGTON STATE DEPARTMENT OF HEALTH (01) | WA |