Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | RC00016142 | WA |
NPI | 1003072679 |
---|---|
Provider Name | Ms. Madeline C Krygier |
First Address | Marysville, WA 98271-7709 |
Second Address | Marysville, WA 98271-7709 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2008 |
Last Update Date | 04/08/2008 |