Modica, Christyn Don

Modica, Christyn Don is an sole proprietor health care provider with primary practice located at 4210 20Th St E Ste B&C , Fife WA 98424-1830. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Modica, Christyn Don can be contacted via phone (253) 235-5216.

Contact Information

Primary practice address
4210 20Th St E Ste B&C Fife WA 98424-1830
Phone: (253) 235-5216
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X CG61019299 Washington
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CP60771150 Washington
Behavioral Health & Social Service Providers / Counselor 101Y00000X MC61140763 Washington

Profile Details

NPI number 1760019566
LBN Legal business name Modica, Christyn Don
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 24th, 2020
Last updated Sep 14th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760019566 NPPES
Washington Other CG61019299 COUNSELOR AGENCY AFFILIATED REGISTRATION

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