Individual
MS. CHANDA DENISE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
721 45TH ST NE, AUBURN, WA 98002-1303
(253) 289-6233
(253) 859-0789
Mailing address
721 45TH ST NE STE C, AUBURN, WA 98002-1303
(253) 289-6233
(253) 859-0789
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60171129
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP60171129
CHEMICAL DEPENDENCY PROFESSIONAL
WA
Enumeration date
12/16/2018
Last updated
12/16/2018
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