Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor | 60794965 | WA |
N | 101YS0200X | School Counselor | 506270H | WA |
NPI | 1003322314 |
---|---|
Provider Name | Christina Irene Chandler |
First Address | Seattle, WA 98126-2789 |
Second Address | Seattle, WA 98126-3505 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/12/2017 |
Last Update Date | 21/12/2017 |