Individual
LORISSA CLOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.D.P.
Contact information
Practice address
758 ST HELENS AVE, TACOMA, WA 98402-3706
(253) 274-0484
Mailing address
758 ST HELENS AVE, TACOMA, WA 98402-3706
(253) 274-0484
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
60483171
WA
Other
Enumeration date
03/10/2016
Last updated
03/10/2016
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