Individual
ALICIA ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDPT
Contact information
Practice address
3773 MARTIN WAY E STE 105A, OLYMPIA, WA 98506-5048
(360) 688-7312
(360) 688-7318
Mailing address
3773 MARTIN WAY E STE 105A, OLYMPIA, WA 98506-5048
(360) 688-7312
(360) 688-7318
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60463986
WA
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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