Healthcare Provider Details

I. General information

NPI: 1730334442
Provider Name (Legal Business Name): APRIL LORAINE CONNIFF CO61334353
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/21/2008
Last Update Date: 08/02/2022
Certification Date: 08/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3574 TACOMA AVE S
TACOMA WA
98418-6849
US

IV. Provider business mailing address

1122 E PIKE ST # 1063
SEATTLE WA
98122-3916
US

V. Phone/Fax

Practice location:
  • Phone: 206-606-3007
  • Fax:
Mailing address:
  • Phone: 206-915-5727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCO61334353
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA00021517
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: