Individual
MAYRA LAURA CORONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CO61217554
Contact information
Practice address
2280 WA-821, YAKIMA, WA 98901
(509) 457-0990
(509) 457-5313
Mailing address
2280 WA-821, YAKIMA, WA 98901
(509) 457-0990
(509) 457-5313
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61217554
WA
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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