Provider Demographics
NPI:1801373303
Name:PRYOR, CHRISTINE ANNETTE (CDP, MSW, MAR, MHSC)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:ANNETTE
Last Name:PRYOR
Suffix:
Gender:F
Credentials:CDP, MSW, MAR, MHSC
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:ANNETTE
Other - Last Name:RUMNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CDP, MSW, MAR
Mailing Address - Street 1:2280 STATE ROUTE 821
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98901-8302
Mailing Address - Country:US
Mailing Address - Phone:509-457-0990
Mailing Address - Fax:
Practice Address - Street 1:2280 STATE ROUTE 821
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98901-8302
Practice Address - Country:US
Practice Address - Phone:509-457-0990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-26
Last Update Date:2018-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral