| Doctor Name: | MRS. KATRINA ANN ECHTINAW-WAGER |
| NPI Number: | 1306991542 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CDP |
| License Number: | CP00006022 |
| Business Practice Address: | 4480 Tolt Ave. Carnation, WA - 98014 |
| Business Phone Number: | 4253335426 |
| Business Fax Number: | 4253335428 |
| Mailing Address: | 332 Healy Ave S Apt 2, NORTH BEND |
| State: | WA |
| Postal Code: | 980458953 |
| Phone Number: | 4253335426 |
| Fax Number: | 4253335428 |
| NPI Enumeration Date: | 01/25/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | CP00006022 |
| 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: | |