Healthcare Provider Details

I. General information

NPI: 1689234478
Provider Name (Legal Business Name): KHRISTELL ILARRAZA-ARMAND LMHCA, SUDP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2019
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

884 W PARK AVE
PORT TOWNSEND WA
98368-2273
US

IV. Provider business mailing address

PO BOX 565
PORT TOWNSEND WA
98368-0565
US

V. Phone/Fax

Practice location:
  • Phone: 360-385-0321
  • Fax: 360-385-3944
Mailing address:
  • Phone: 360-385-0321
  • Fax: 360-385-3944

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberMC61117246
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCP61138302
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: