Individual
AUDREY JANE BENGTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3773 MARTIN WAY E STE 107, OLYMPIA, WA 98506-4400
(360) 688-7312
(360) 688-7318
Mailing address
817 TIPSOO LOOP S, RAINIER, WA 98576-9745
(360) 359-2082
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61019437
WA
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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