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Organization
NEW LIFE ADDICTION AND RECOVERY SERVICES PLLC
Active
Organization
NEW LIFE ADDICTION AND RECOVERY SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE MELANIE BUFORD MA, LMHCA, CDPT (CEO)
(206) 407-3333
Entity
Organization
Contact information
Practice address
5019 GROVE ST # 103A, MARYSVILLE, WA 98270-4487
(206) 407-3333
Mailing address
5019 GROVE ST # 103A, MARYSVILLE, WA 98270-4487
(206) 407-3333
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP 60535562
WA
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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