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Organization
INNOVATION RESOURCE CENTER
Active
Organization
INNOVATION RESOURCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIE ELENA GUERRER MSW, NCACI, SAP, CDP (CLINICAL DIRECTOR)
(509) 836-2400
Entity
Organization
Contact information
Practice address
214 S 6TH ST, UNIT #3, SUNNYSIDE, WA 98944-1446
(509) 836-2400
(509) 836-2400
Mailing address
PO BOX 953, SUNNYSIDE, WA 98944-0953
(509) 836-2400
(509) 836-2400
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00006228
WA
Other
Enumeration date
04/05/2012
Last updated
04/05/2012
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