Individual
MICHAELA IRENE EASTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1016 COMMERCIAL ST, RAYMOND, WA 98577
(509) 202-3901
Mailing address
1700 CHERRY ST, ABERDEEN, WA 98520-3721
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/11/2018
Last updated
05/11/2018
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