Individual
ELIZABETH LAVERNE BOELTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2280 STATE ROUTE 821, YAKIMA, WA 98901-8302
(509) 457-0990
(509) 457-0312
Mailing address
2280 STATE ROUTE 821, YAKIMA, WA 98901-8302
(509) 457-0990
(509) 457-0312
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00000384
WA
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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