Individual
MEGAN J VANHOLLEBEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7510 W DESCHUTES PL, KENNEWICK, WA 99336-7719
(509) 579-0738
Mailing address
7510 W DESCHUTES PL, KENNEWICK, WA 99336-7719
(509) 579-0738
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
60941649
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CO60941649
CDPT LICENSURE
WA
Enumeration date
06/21/2019
Last updated
06/21/2019
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