Individual
MS. BONNIE R CASSIDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
337 GEHRKE RD, PORT ANGELES, WA 98362
(360) 417-2132
(360) 417-8011
Mailing address
337 GEHRKE RD, PORT ANGELES, WA 98362
(360) 417-2132
(360) 417-8011
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00003168
WA
Other
Enumeration date
01/16/2008
Last updated
01/16/2008
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