Individual
SAMANTHA VALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CP60641068
Contact information
Practice address
515 W HARRISON ST STE 109, KENT, WA 98032-4403
(206) 226-9435
Mailing address
34713 2ND LN S APT K134, FEDERAL WAY, WA 98003-8719
(509) 750-3859
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60641068
WA
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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