Individual
ELISACAROLS ENCARNACION
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
9930 EVERGREEN WAY STE Z150, EVERETT, WA 98204-3889
(425) 347-5121
Mailing address
11406 17TH PL NE, LAKE STEVENS, WA 98258-9556
(206) 218-4802
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
WA
175T00000X
Peer Specialist
Primary
—
WA
Other
Enumeration date
04/05/2024
Last updated
05/16/2025
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