Individual
LISA R SEVENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
402 S 4TH AVE, YAKIMA, WA 98902-3546
(509) 575-4084
(509) 225-6313
Mailing address
PO BOX 959, YAKIMA, WA 98907-0959
(509) 575-4084
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60375840
WA
Other
Enumeration date
06/28/2013
Last updated
06/28/2013
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