Individual
MS. JODY SOURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6228 OLD SCHOOL ROAD, WELLPINIT, WA 99040
(509) 570-8525
Mailing address
6228 OLD SCHOOL ROAD, WELLPINIT, WA 99040
(509) 570-8525
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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