Individual
EILEEN DESIREE URBINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
748 MARKET ST # 186, TACOMA, WA 98402-3737
(253) 240-0885
Mailing address
14 RIPS LN SW, LAKEWOOD, WA 98499-4238
(509) 460-9647
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/11/2017
Last updated
10/13/2024
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