Individual
LETICIA RUBALCAVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDPT
Contact information
Practice address
221 N RACE ST, PORT ANGELES, WA 98362-3513
(360) 452-2443
Mailing address
PO BOX 2544, PORT ANGELES, WA 98362-0323
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
60851803
WA
Other
Enumeration date
12/21/2018
Last updated
12/21/2018
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