Individual provider · Type 1 NPI
Kelly Knittle
Addiction (Substance Use Disorder) Counselor · Olympia, WA
NPI number
1164870267
Active
Practice location
4820 She-Nah-Num Dr. SE
Olympia, WA 98520
Mailing address
4820 She Nah Num Dr SE
Olympia, WA 98513-9105
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CP60523464 (WA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1164870267
Kelly Knittle's National Provider Identifier is 1164870267, issued on May 31, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Olympia, WA. The record was last updated on May 31, 2016.