Individual
ADOLFO ELIAS REBOLLOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
511 W HERON ST, ABERDEEN, WA 98520-6022
(564) 544-1944
Mailing address
511 W HERON ST, ABERDEEN, WA 98520-6022
(564) 544-1944
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61324333
WA
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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