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Individual

MS. KATHLEEN LORETTA ST.CLAIR I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CDP

Contact information

Practice address
1601 E FOURTH PLAIN BLVD, VANCOUVER, WA 98661-3753
(360) 397-8246
(360) 397-8450
Mailing address
1601 E FOURTH PLAIN BLVD, VANCOUVER, WA 98661-3753
(360) 397-8824
(360) 397-8450

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00002518
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CD00002518
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
06/15/2009
Last updated
06/15/2009
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