Provider Demographics
NPI:1215241179
Name:STOWE, KRISTINE F (LCSW)
Entity type:Individual
Prefix:MRS
First Name:KRISTINE
Middle Name:F
Last Name:STOWE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 430
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-0430
Mailing Address - Country:US
Mailing Address - Phone:509-308-8182
Mailing Address - Fax:509-943-4016
Practice Address - Street 1:750 SWIFT BLVD., #1
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-0430
Practice Address - Country:US
Practice Address - Phone:509-308-8182
Practice Address - Fax:509-943-4016
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-03
Last Update Date:2018-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW60128097101YM0800X
WALW 601280971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health