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Individual

CHRISTOPHER ADAM BLANCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
201 E LINCOLN AVE, YAKIMA, WA 98901-2348
(509) 457-5653
Mailing address
PO BOX 1207, YAKIMA, WA 98907-1207
(509) 457-5653

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61035934
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2077844
WA
Enumeration date
11/03/2020
Last updated
08/12/2022
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