Individual
ANGELA DENISE WISNIEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CO60451987
Contact information
Practice address
2732 GRAND AVE, EVERETT, WA 98201-3416
(425) 259-5842
(425) 259-0243
Mailing address
3019 COLBY AVE, EVERETT, WA 98201-4022
(425) 259-5842
(425) 259-0243
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60451987
WA
Other
Enumeration date
01/18/2018
Last updated
01/18/2018
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