Christyn Don Modica

NPI #1760019566 in Fife, Washington

Provider Information

NPI Number: 1760019566
Entity Type: Individual
Name: Christyn Don Modica
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Mar 24, 2020
Last Updated: Sep 14, 2021

Practice Location

Address: 4210 20TH ST E STE B&C
City: Fife
State: Washington
ZIP Code: 98424-1830
Phone: (253) 235-5216

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X

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