Individual
GRADIE MELISSA HOLLIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SUDPT
Contact information
Practice address
405 N PARK ST, ABERDEEN, WA 98520-4818
(360) 660-1011
(360) 660-1009
Mailing address
PO BOX 1371, CHEHALIS, WA 98532-0340
(360) 266-5585
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61448292
WA
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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