Doctor Name: | KRISTINA NOEL CALLENDER |
NPI Number: | 1083910590 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | LW60188778 |
Business Practice Address: | 7317 Ne 155th St Kenmore, WA - 980284638 |
Business Phone Number: | 2065517372 |
Business Fax Number: | |
Mailing Address: | 7317 Ne 155th St, KENMORE |
State: | WA |
Postal Code: | 98028 |
Phone Number: | 2065517372 |
Fax Number: | |
NPI Enumeration Date: | 01/31/2011 |
NPI Last Update Date: | 02/10/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LW60188778 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |