Individual
ANTHONY DAVID SAUCEDO III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3510 STEELHAMMER DR, CENTRALIA, WA 98531-4551
(360) 623-8020
Mailing address
18240 APPLEGATE ST SW, ROCHESTER, WA 98579-9510
(360) 448-5311
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
Other
Enumeration date
08/18/2022
Last updated
09/01/2022
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