Provider Demographics
NPI:1386047967
Name:DRISKELL, CHRISTIE (LICSW)
Entity type:Individual
Prefix:
First Name:CHRISTIE
Middle Name:
Last Name:DRISKELL
Suffix:
Gender:F
Credentials:LICSW
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 66
Mailing Address - Street 2:
Mailing Address - City:CARNATION
Mailing Address - State:WA
Mailing Address - Zip Code:98014-0066
Mailing Address - Country:US
Mailing Address - Phone:425-214-6187
Mailing Address - Fax:425-577-6506
Practice Address - Street 1:16400 318TH AVE NE
Practice Address - Street 2:
Practice Address - City:DUVALL
Practice Address - State:WA
Practice Address - Zip Code:98019-7604
Practice Address - Country:US
Practice Address - Phone:425-214-6187
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-26
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASW000068601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical