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Individual
SARA THORNTON SOPER
Active
Individual
SARA THORNTON SOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PEER COUNSELOR
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
MC61247527
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61202438
WA
175T00000X
Peer Specialist
CG61246155
WA
Other
Enumeration date
11/22/2021
Last updated
10/18/2022
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