Doctor Name: | MS. CHRISTINE FRANCOISE CONWAY |
NPI Number: | 1124460316 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | AA, CDP |
License Number: | CP60327542 |
Business Practice Address: | 6100 Southcenter Blvd Reentry Tukwila, WA - 981882442 |
Business Phone Number: | 2064447800 |
Business Fax Number: | 2064447810 |
Mailing Address: | 1600 E Olive St, Sound Mental Health SEATTLE |
State: | WA |
Postal Code: | 981222735 |
Phone Number: | 2063022200 |
Fax Number: | 2063022210 |
NPI Enumeration Date: | 07/29/2013 |
NPI Last Update Date: | 07/29/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | CP60327542 |
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: |