Individual
MS. WENDY ROSEANN BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
1918 EVERETT AVE, EVERETT, WA 98201-3607
(425) 258-5270
(425) 258-5275
Mailing address
30709 82ND AVE NW, STANWOOD, WA 98292-9751
(360) 629-0290
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00004316
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00004316
CHEMICAL DEPENDENCY PROFESSIONAL
WA
Enumeration date
10/22/2008
Last updated
10/22/2008
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