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Individual

BRIANNA DALTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MHP, CG

Contact information

Practice address
1601 E 4TH PLAIN BLVD, BLDG 17, VANCOUVER, WA 98661-3753
(360) 397-8246
Mailing address
PO BOX 1678, VANCOUVER, WA 98668-1678

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CG60558965
WA

Other

Enumeration date
06/09/2015
Last updated
06/09/2015
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