Individual
MISS FAVIOLA QUIROZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3808 S ANGELINE ST, SEATTLE, WA 98118-1712
(253) 285-4750
Mailing address
22811 114TH AVE E, GRAHAM, WA 98338-6720
(253) 226-0525
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61039584
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CO61039584
SUBSTANCE USE DISORDER TRAINEE
WA
Enumeration date
02/25/2020
Last updated
03/06/2020
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