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Individual

AMBER ANN COUTURE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CDP

Contact information

Practice address
2280 WA-821, YAKIMA, WA 98901
(509) 853-3288
(509) 452-1221
Mailing address
PO BOX 217, SELAH, WA 98942-0217
(509) 853-3288
(509) 452-1221

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60848392
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
CP60848392
WA
Enumeration date
07/31/2018
Last updated
07/31/2018
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