KATIE A VAN KOMEN

ELLENSBURG, WA
NPI1922570217
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CO60767403)
Enumeration Date2018-12-26
Last Update Date2018-12-26
Business Address
KATIE A VAN KOMEN CDPT
1206 N DOLARWAY RD STE 114
ELLENSBURG, WA 98926-8392
Phone number: 509-457-5653
Mailing Address
KATIE A VAN KOMEN CDPT
201 E LINCOLN AVE STE 100
YAKIMA, WA 98901-2348
Phone number: 509-457-5653