Individual
MS. CONNIE HEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDP
Contact information
Practice address
14090 FRYELANDS BLVD SE STE 347, MONROE, WA 98272-2760
(360) 805-3122
(360) 805-9180
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(253) 681-6626
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60904032
WA
Other
Enumeration date
02/11/2020
Last updated
05/28/2024
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