Individual
ASHLY MELISSA LEITON BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21120 MERIDIAN E, GRAHAM, WA 98338-8254
(253) 285-4750
Mailing address
19220 89TH AVE E, GRAHAM, WA 98338-6482
(253) 993-7568
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61615133
WA
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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