MRS. BETTY C. KASSUHN


Address: 729 Prospect St, Suite 200, Port Orchard, WA 98366-5330
Phone: 3608951307

MRS. BETTY C. KASSUHN (NPI# 1205955390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205955390
Entity Type Individual
Full Name MRS. BETTY C. KASSUHN
Credential CDP
Practice Address 729 Prospect St
Suite 200
Port Orchard
WA 98366-5330
Practice Telephone 3608951307
Mailing Telephone 3608951307
Enumeration Date 2007-03-28
Last Update Date 2017-12-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
RC00041017 WA Behavioral Health & Social Service Providers
Y 101YP2500X Counselor
Specialization: Professional
CP00004989 WA Behavioral Health & Social Service Providers

Office Location

Street Address 729 PROSPECT ST
SUITE 200
City PORT ORCHARD
State WA
Zip Code 98366-5330

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1952822660 Kristian Thomas Workman Haskins Hearing Instrument Specialist 1328 Colchester Drive S.e., Port Orchard, WA 98366 2017-07-03
1013466929 Jenna Olafson Counselor 414 Front St. N, Issaquah, WA 98366 2016-10-04
1063884534 Laurine Burrer Licensed Practical Nurse 2874 Se Lund Ave, Port Orchard, WA 98366 2015-10-23
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1588912042 Celeste Kyle Interrante Physical Therapy Assistant 2051 Pottery Ave., Port Orchard, WA 98366 2012-08-15
1013227339 Christine Davis Massage Therapist 1800 Se Mile Hill Drive, Suite 150, Port Orchard, WA 98366 2010-10-20
1932421724 Mary Jo Stump Physical Therapy Assistant 2051 Pottery Avenue, Port Orchard, WA 98366 2010-02-19
1669707626 Shannon Mary Baurichter Speech-Language Pathologist 1230 Bay St, Port Orchard, WA 98366 2009-10-08
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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Competitor

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City PORT ORCHARD
Zip Code 98366

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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