Individual
VICKI LYNNE HINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADCII
Contact information
Practice address
1237 B ST, WASHOUGAL, WA 98671-2239
(619) 410-4812
Mailing address
1237 B ST, WASHOUGAL, WA 98671-2239
(619) 410-4812
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AII060320818
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AII060320818
CALIFORNIA CONSORTIUM OF ADDICTION PROFESSIONALS
CA
Enumeration date
10/10/2019
Last updated
10/10/2019
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