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Individual

MARIANA POP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12330 NE 8TH ST STE 100, BELLEVUE, WA 98005-3187
(425) 326-1091
(425) 502-8915
Mailing address
12330 NE 8TH ST STE 100, BELLEVUE, WA 98005-3187
(425) 326-1091
(425) 502-8915

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP60185864
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LH60582920
WA

Other

Enumeration date
09/22/2015
Last updated
09/24/2015
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