Provider Demographics
NPI:1144472564
Name:POTUZAK, CHRYS TENA (MSW)
Entity type:Individual
Prefix:MISS
First Name:CHRYS
Middle Name:TENA
Last Name:POTUZAK
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 9TH AVE
Mailing Address - Street 2:MS 359947
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-2420
Mailing Address - Country:US
Mailing Address - Phone:206-744-1628
Mailing Address - Fax:206-744-1614
Practice Address - Street 1:325 9TH AVE
Practice Address - Street 2:MS 359947
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-2420
Practice Address - Country:US
Practice Address - Phone:206-744-1628
Practice Address - Fax:206-744-1614
Is Sole Proprietor?:No
Enumeration Date:2008-10-16
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical