Provider Demographics
NPI:1730334442
Name:CONNIFF, APRIL LORAINE (CO61334353)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:LORAINE
Last Name:CONNIFF
Suffix:
Gender:F
Credentials:CO61334353
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1122 E PIKE ST # 1063
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-3916
Mailing Address - Country:US
Mailing Address - Phone:206-915-5727
Mailing Address - Fax:
Practice Address - Street 1:3574 TACOMA AVE S
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98418-6849
Practice Address - Country:US
Practice Address - Phone:206-606-3007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-21
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00021517225700000X
WACO61334353101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist