Individual
CHRISTINA VITELA DUARTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDPT
Contact information
Practice address
14090 FRYELANDS BLVD SE STE 327, MONROE, WA 98272-2693
(360) 805-3122
(360) 805-9180
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(206) 764-0502
(206) 764-0516
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO 60724466
WA
Other
Enumeration date
02/03/2017
Last updated
02/03/2017
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