Individual provider · Type 1 NPI
Katie A. Van Komen, CDPT
Addiction (Substance Use Disorder) Counselor · Ellensburg, WA
NPI number
1922570217
Active
Practice location
1206 N Dolarway Rd Ste 114
Ellensburg, WA 98926-8392
Mailing address
201 E Lincoln Ave Ste 100
Yakima, WA 98901-2348
Other practice locations
- 201 E Lincoln Ave Ste 100, Yakima, WA 98901-2348 · (509) 457-5653
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CO60767403 (WA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1922570217
Katie A. Van Komen, CDPT's National Provider Identifier is 1922570217, issued on Dec 26, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ellensburg, WA. The record was last updated on Dec 26, 2018.