Individual
LAURA LYNN TENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDPT
Contact information
Practice address
1601 E FOURTH PLAIN BLVD BLDG 17, VANCOUVER, WA 98661-3717
(360) 397-8246
(360) 397-8250
Mailing address
13852 NW 10TH CT APT B, VANCOUVER, WA 98685-1905
(360) 901-9827
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61489652
WA
Other
Enumeration date
03/25/2020
Last updated
11/20/2023
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