Individual
KERRY L TROUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDP
Contact information
Practice address
720 W COURT ST, 8, PASCO, WA 99301
(509) 528-6759
(509) 544-0957
Mailing address
PO BOX 1323, 515 W COURT ST, PASCO, WA 99301
(509) 547-2204
(509) 542-8836
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00001561
WA
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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