Individual provider · Type 1 NPI

Kathleen Joy Widdis, CDP

Addiction (Substance Use Disorder) Counselor · Everett, WA

NPI number 1780045674 Active

Practice location

2732 Grand Ave
Everett, WA 98201-3416

Call (425) 259-5842 Map

Fax (425) 259-0248

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCP 60450937 (WA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1780045674

Kathleen Joy Widdis, CDP's National Provider Identifier is 1780045674, issued on Mar 18, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Everett, WA. The record was last updated on Mar 18, 2016.