Individual
HEATHER WHYNOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9720 S TACOMA WAY, LAKEWOOD, WA 98499-4456
(253) 304-7753
Mailing address
9720 S TACOMA WAY, LAKEWOOD, WA 98499-4456
(253) 304-7753
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61294310
WA
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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