Doctor Name: | ADRIENNE M ELKIN |
NPI Number: | 1003165077 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | CO60292962 |
Business Practice Address: | 1116 Summit Ave Seattle, WA - 981012831 |
Business Phone Number: | 2063230930 |
Business Fax Number: | 2063230933 |
Mailing Address: | 1116 Summit Ave, SEATTLE |
State: | WA |
Postal Code: | 981012831 |
Phone Number: | 2063230930 |
Fax Number: | 2063230933 |
NPI Enumeration Date: | 09/05/2012 |
NPI Last Update Date: | 09/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | CO60292962 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |