King, Carissa

King, Carissa is an individual health care provider with primary practice located at 3100 Nw Bucklin Hill Rd Ste 224 , Silverdale WA 98383-8365. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Technician, Other, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. King, Carissa can be contacted via phone (360) 536-3060.

Contact Information

Primary practice address
3100 Nw Bucklin Hill Rd Ste 224 Silverdale WA 98383-8365
Phone: (360) 536-3060
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X CB60959065 Washington

Profile Details

NPI number 1831641414
LBN Legal business name King, Carissa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2016
Last updated Sep 16th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1831641414 NPPES
Utah MEDICAID 1396085718

Popular Providers