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Individual

ANNA KAPESI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
510 TACOMA AVE S, TACOMA, WA 98402-5416
(253) 572-4750
Mailing address
510 TACOMA AVE S, TACOMA, WA 98402-5416

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61109866
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CO61109866
SUBSTANCE USE DISORDER PROFESSIONAL TRAINEE
WA
Enumeration date
04/27/2022
Last updated
04/27/2022
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