Individual
ARIANA ELIZABETH BAENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5915 ORCHARD ST W, TACOMA, WA 98467-3824
(253) 414-7461
Mailing address
2020 E GEORGE ST, TACOMA, WA 98404-4755
(253) 592-8366
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60906029
WA
Other
Enumeration date
10/08/2018
Last updated
10/08/2018
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